Provider First Line Business Practice Location Address:
225 WEST 71ST STREET SUITE 2
Provider Second Line Business Practice Location Address:
INTEGRATIVE HEALTH STUDIO
Provider Business Practice Location Address City Name:
NEW YORK
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10023
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
917-741-7419
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
02/23/2009