Provider First Line Business Practice Location Address:
462 1ST AVE.
Provider Second Line Business Practice Location Address:
SOCIAL WORK DEPT. - H BLDG. / 6TH FL. C/O BELLEVUE HOSP
Provider Business Practice Location Address City Name:
NEW YORK
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10016-9196
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
212-562-4166
Provider Business Practice Location Address Fax Number:
212-562-6103
Provider Enumeration Date:
04/12/2011