Provider First Line Business Practice Location Address:
1 PENN PLZ FL 8
Provider Second Line Business Practice Location Address:
OPTUM
Provider Business Practice Location Address City Name:
NEW YORK
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10119-0899
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
347-219-0784
Provider Business Practice Location Address Fax Number:
212-216-6606
Provider Enumeration Date:
02/22/2007