Provider First Line Business Practice Location Address:
462 FIRST AVE, AMB CARE CENTER, DESK 2D
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
NEW YORK
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10016
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
917-830-6401
Provider Business Practice Location Address Fax Number:
866-272-0558
Provider Enumeration Date:
05/05/2015