Provider First Line Business Practice Location Address:
126 E. 126TH STREET
Provider Second Line Business Practice Location Address:
5TH FLOOR NURSING
Provider Business Practice Location Address City Name:
NEW YORK
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10035-1623
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
212-534-6188
Provider Business Practice Location Address Fax Number:
212-348-2526
Provider Enumeration Date:
05/25/2020