Provider First Line Business Practice Location Address:
131 WEST 135TH ST
Provider Second Line Business Practice Location Address:
LENOX REHAB
Provider Business Practice Location Address City Name:
NEW YORK
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10030
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
917-386-3434
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
01/10/2012