Provider First Line Business Practice Location Address:
200 MADISON AVENUE
Provider Second Line Business Practice Location Address:
CENTRAL PARK PM&R
Provider Business Practice Location Address City Name:
NEW YORK
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10016
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
212-447-0300
Provider Business Practice Location Address Fax Number:
212-447-9524
Provider Enumeration Date:
09/05/2006