Provider First Line Business Practice Location Address:
1 PENN PLAZA 7TH FL STE 725
Provider Second Line Business Practice Location Address:
EVERCARE UNITED HEALTHCARE
Provider Business Practice Location Address City Name:
NEW YORK
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10119
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
212-216-6568
Provider Business Practice Location Address Fax Number:
212-216-6606
Provider Enumeration Date:
10/01/2007