Provider First Line Business Practice Location Address:
275 7TH AVENUE, 4TH FLOOR
Provider Second Line Business Practice Location Address:
UNION HEALTH CENTER
Provider Business Practice Location Address City Name:
NEW YORK
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10001
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
212-924-2510
Provider Business Practice Location Address Fax Number:
212-812-3800
Provider Enumeration Date:
06/14/2006