Provider First Line Business Practice Location Address:
122 EAST 23 STREET
Provider Second Line Business Practice Location Address:
UNITED CEREBRAL PALSY OF NEW YORK CITY
Provider Business Practice Location Address City Name:
NEW YORK
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10040
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
212-677-7400
Provider Business Practice Location Address Fax Number:
212-260-6894
Provider Enumeration Date:
11/17/2006