Provider First Line Business Practice Location Address:
220 CHURCH ST, 5TH FLOOR
Provider Second Line Business Practice Location Address:
PUBLIC HEALTH SOLUTIONS-MIC WOMEN'S HEALTH SERVICES
Provider Business Practice Location Address City Name:
NEW YORK
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10013-2988
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
646-619-6688
Provider Business Practice Location Address Fax Number:
646-619-6782
Provider Enumeration Date:
09/24/2010