Provider First Line Business Practice Location Address:
MANHATTAN PSYCHIATRIC CENTER 1 WARD'S ISLAND COMPLEX
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:
10035-2107
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
818-255-8433
Provider Business Practice Location Address Fax Number:
866-271-0432
Provider Enumeration Date:
07/28/2009