Provider First Line Business Practice Location Address:
1111 AMSTERDAM AVENUE
Provider Second Line Business Practice Location Address:
DEPARTMENT OF PSYCHIATRY
Provider Business Practice Location Address City Name:
NEW YORK
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10025
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
212-523-8794
Provider Business Practice Location Address Fax Number:
212-523-7000
Provider Enumeration Date:
05/03/2012