Provider First Line Business Practice Location Address:
MOUNT SINAI HOSPITAL, 1 GUSTAVE L. LEVY PLACE, NEW YORK
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
NEW YORK
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:
212-241-7869
Provider Business Practice Location Address Fax Number:
212-410-5918
Provider Enumeration Date:
01/10/2019