Provider First Line Business Practice Location Address:
KIRBY FORENSIC PSYCHIATRIC CENTER
Provider Second Line Business Practice Location Address:
WARDS ISLAND COMPLEX
Provider Business Practice Location Address City Name:
MANHATTAN
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10035-6095
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
914-646-6800
Provider Business Practice Location Address Fax Number:
914-646-6892
Provider Enumeration Date:
12/23/2019