Provider First Line Business Practice Location Address:
928 BROADWAY SUITE 301
Provider Second Line Business Practice Location Address:
GRAMERCY PARK PHYSICAL THERAPY
Provider Business Practice Location Address City Name:
NEW YORK
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10010-6008
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
718-285-2706
Provider Business Practice Location Address Fax Number:
646-202-1859
Provider Enumeration Date:
04/13/2010