Provider First Line Business Practice Location Address:
115 EAST 57TH ST SUITE 520, 5TH FLOOR
Provider Second Line Business Practice Location Address:
DASHA WELLNESS
Provider Business Practice Location Address City Name:
N.Y.
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10022
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
212-755-5500
Provider Business Practice Location Address Fax Number:
212-755-0505
Provider Enumeration Date:
04/05/2011