Provider First Line Business Practice Location Address:
280 HENRY ST
Provider Second Line Business Practice Location Address:
BETANCES HEALTH CENTER
Provider Business Practice Location Address City Name:
NY
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10002
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
212-227-8401
Provider Business Practice Location Address Fax Number:
212-227-8842
Provider Enumeration Date:
07/31/2006