Provider First Line Business Practice Location Address:
52 DUANE ST
Provider Second Line Business Practice Location Address:
ADVANTAGE CARE PHYSICIANS
Provider Business Practice Location Address City Name:
NEW YORK
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10007-1207
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
718-680-4693
Provider Business Practice Location Address Fax Number:
646-751-6909
Provider Enumeration Date:
02/15/2010