Provider First Line Business Practice Location Address:
106 LIBERTY ST BSMT
Provider Second Line Business Practice Location Address:
MEDHATTAN IMMEDIATE CARE
Provider Business Practice Location Address City Name:
NEW YORK
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10006-1016
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
646-461-2544
Provider Business Practice Location Address Fax Number:
646-461-2542
Provider Enumeration Date:
06/26/2008