Provider First Line Business Practice Location Address:
450 W 33RD ST, 12TH FLOOR
Provider Second Line Business Practice Location Address:
US FAMILY HEALTH PLAN
Provider Business Practice Location Address City Name:
NEW YORK
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10001-2610
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
212-356-4903
Provider Business Practice Location Address Fax Number:
212-356-4909
Provider Enumeration Date:
06/13/2006