Provider First Line Business Practice Location Address:
1090 AMSTERDAM AVE FL 16
Provider Second Line Business Practice Location Address:
MT SINAI ST. LUKE'S DEPARTMENT OF PSYCHIATRY
Provider Business Practice Location Address City Name:
NEW YORK
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10025-1737
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
212-523-5089
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
06/15/2012