Provider First Line Business Practice Location Address:
10 NATHAN D. PERLMAN PL
Provider Second Line Business Practice Location Address:
MSBI PSYCHIATRY, BERNSTEIN PAVILION, ROOM 7B15
Provider Business Practice Location Address City Name:
NEW YORK
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10003
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
212-420-2555
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
05/03/2017