Provider First Line Business Practice Location Address:
614 2ND AVE SUITE G FLOOR 2
Provider Second Line Business Practice Location Address:
HARKNESS CENTER FOR DANCE INJURIES
Provider Business Practice Location Address City Name:
NEW YORK
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10016-9998
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
212-598-6022
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
07/06/2010