Provider First Line Business Practice Location Address:
423 EAST 23 ST
Provider Second Line Business Practice Location Address:
PSYCHIATRY VA NYHHS
Provider Business Practice Location Address City Name:
NEW YORK
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10010
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
212-951-3294
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
10/04/2006