Provider First Line Business Practice Location Address:
531 CENTRAL PARK AVE
Provider Second Line Business Practice Location Address:
SCARSDALE WELLNESS CENTER
Provider Business Practice Location Address City Name:
SCARSDALE
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10583-1000
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
914-722-7688
Provider Business Practice Location Address Fax Number:
914-722-1763
Provider Enumeration Date:
09/22/2006