Provider First Line Business Practice Location Address:
KIRBY FORENSIC PSCHIATRIC CENTER
Provider Second Line Business Practice Location Address:
600 E 125TH STREET
Provider Business Practice Location Address City Name:
NEW YORK
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10035-6095
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
646-672-6805
Provider Business Practice Location Address Fax Number:
646-672-6898
Provider Enumeration Date:
12/26/2019