Provider First Line Business Practice Location Address:
PS 138@PS30 144 EAT 138TH STREET
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
NEW YORK
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10035
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
212-369-2227
Provider Business Practice Location Address Fax Number:
212-427-6608
Provider Enumeration Date:
08/23/2018