Provider First Line Business Practice Location Address:
515 AUDUBON AVE
Provider Second Line Business Practice Location Address:
ISABELLA GERIATRIC CENTER
Provider Business Practice Location Address City Name:
NEW YORK
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10040-3403
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
646-285-7698
Provider Business Practice Location Address Fax Number:
201-621-6165
Provider Enumeration Date:
08/24/2009