Provider First Line Business Practice Location Address:
309 WEST 23RD STREET
Provider Second Line Business Practice Location Address:
UNITED CEREBRAL PALSY WESTSIDE DAY HAB PROGRAM III
Provider Business Practice Location Address City Name:
NEW YORK
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10011
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
212-741-3540
Provider Business Practice Location Address Fax Number:
212-675-1759
Provider Enumeration Date:
02/14/2008