Provider First Line Business Practice Location Address:
110 WEST 97TH STREET
Provider Second Line Business Practice Location Address:
WILLIAM F RYAN COMMUNITY HEALTH CENTER
Provider Business Practice Location Address City Name:
NY
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:
212-749-1820
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
02/26/2015