Provider First Line Business Practice Location Address:
220 WEST 26TH ST
Provider Second Line Business Practice Location Address:
WELLNESS AND REHBILITATION CENTER
Provider Business Practice Location Address City Name:
NEW YORK
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10001
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
212-337-5814
Provider Business Practice Location Address Fax Number:
212-924-5049
Provider Enumeration Date:
10/06/2006