Provider First Line Business Practice Location Address:
63 MOTT ST
Provider Second Line Business Practice Location Address:
NEW HEALTH WORLD, INC.
Provider Business Practice Location Address City Name:
NEW YORK
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10013-4836
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
212-608-7868
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
10/18/2011