Provider First Line Business Practice Location Address:
P&S BOX 20 COLUMBIA UNIVERSITY, COLLEGE OF DENTAL MEDIC
Provider Second Line Business Practice Location Address:
630 W 168TH STREET
Provider Business Practice Location Address City Name:
NEW YORK
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10032
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
212-305-6100
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
04/07/2026