Provider First Line Business Practice Location Address:
50 GREENE ST
Provider Second Line Business Practice Location Address:
SOHO HEALTH ARTS
Provider Business Practice Location Address City Name:
NEW YORK
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10013-2663
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
917-969-1869
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
03/26/2014