Provider First Line Business Practice Location Address:
EVERCARE - UNITED HEALTHCARE
Provider Second Line Business Practice Location Address:
1 PENN PLAZA, 7TH FL. STE.725
Provider Business Practice Location Address City Name:
NEW YORK
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10119
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
212-216-6502
Provider Business Practice Location Address Fax Number:
212-216-6626
Provider Enumeration Date:
05/14/2007