Provider First Line Business Practice Location Address:
BELLEVUE HOSPITAL CENTER DIVISION OF FORENSIC PSYCHIATR
Provider Second Line Business Practice Location Address:
462 FIRST AVE, RM 19W15
Provider Business Practice Location Address City Name:
NEW YORK
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10016
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
212-562-2554
Provider Business Practice Location Address Fax Number:
212-562-3067
Provider Enumeration Date:
05/31/2007