Provider First Line Business Practice Location Address:
1249 FIFTH AVENUE
Provider Second Line Business Practice Location Address:
TERENCE CARDINAL COOKE HEALTH CARE CENTER
Provider Business Practice Location Address City Name:
NEW YORK
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10029
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
212-360-3907
Provider Business Practice Location Address Fax Number:
212-426-9798
Provider Enumeration Date:
04/03/2007