Provider First Line Business Practice Location Address:
225 EAST 45TH STREET
Provider Second Line Business Practice Location Address:
NEW PROVIDENCE WOMEN'S SHELTER
Provider Business Practice Location Address City Name:
NEW YORK
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10017
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
212-661-8934
Provider Business Practice Location Address Fax Number:
212-661-9158
Provider Enumeration Date:
02/05/2009