Provider First Line Business Practice Location Address:
760 BROADWAY
Provider Second Line Business Practice Location Address:
WOODHULL MEDICAL AND MENTAL HEALTH CENTER
Provider Business Practice Location Address City Name:
BROADWAY
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
11206
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
718-963-8000
Provider Business Practice Location Address Fax Number:
718-630-3122
Provider Enumeration Date:
07/01/2012