Provider First Line Business Practice Location Address:
1468 MADISON AVENUE, 8TH FLOOR, ANNENBERG BUILDING, ROO
Provider Second Line Business Practice Location Address:
DEPARTMENT OF NEUROSURGERY, MOUNT SINAI HOSPITAL
Provider Business Practice Location Address City Name:
NEW YORK CITY
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10029
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
212-241-6267
Provider Business Practice Location Address Fax Number:
212-241-7388
Provider Enumeration Date:
05/04/2015