Provider First Line Business Practice Location Address:
205 EAST 22ND STREET
Provider Second Line Business Practice Location Address:
GROUND FLOOR DOCTORS OFFICE
Provider Business Practice Location Address City Name:
NEW YORK
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10010
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
212-686-2244
Provider Business Practice Location Address Fax Number:
212-213-5735
Provider Enumeration Date:
11/24/2006