Provider First Line Business Practice Location Address:
730 COLUMBUS AVE
Provider Second Line Business Practice Location Address:
BRICK-RUN SPORTS PHYSICAL THERAPY, PLLC
Provider Business Practice Location Address City Name:
NEW YORK
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10025-6658
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
212-665-5070
Provider Business Practice Location Address Fax Number:
212-665-5077
Provider Enumeration Date:
01/04/2006