Provider First Line Business Practice Location Address:
41-51 EAST 11TH ST.
Provider Second Line Business Practice Location Address:
WASHINGTON SQUARE INSTITUTE
Provider Business Practice Location Address City Name:
NY
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10003
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
212-477-2600
Provider Business Practice Location Address Fax Number:
212-477-2040
Provider Enumeration Date:
04/18/2011