Provider First Line Business Practice Location Address:
462 1ST AVENUE 7 EAST
Provider Second Line Business Practice Location Address:
UNSNY HOSPICE
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
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
212-609-0570
Provider Business Practice Location Address Fax Number:
212-714-6839
Provider Enumeration Date:
07/26/2005