Provider First Line Business Practice Location Address:
HARLEM HOSPITAL CENTER, 506 LENOX AVENUE
Provider Second Line Business Practice Location Address:
SUITE 6111, SOCIAL WORK DEPARTMENT, 6TH FLOOR
Provider Business Practice Location Address City Name:
NEW YORK
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10037-1802
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
212-939-3330
Provider Business Practice Location Address Fax Number:
212-939-4609
Provider Enumeration Date:
10/29/2021