Provider First Line Business Practice Location Address:
515 WEST 182ND ST
Provider Second Line Business Practice Location Address:
NEW YORK PRESBYTERIAN HOSPITAL SCHOOL BASED CLINIC 1S 1
Provider Business Practice Location Address City Name:
NEW YORK
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10031
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
212-740-6334
Provider Business Practice Location Address Fax Number:
212-543-2228
Provider Enumeration Date:
11/26/2008