Provider First Line Business Practice Location Address:
NEW YORK STATE OFFICE OF MENTAL HEALTH
Provider Second Line Business Practice Location Address:
SOUTH BEACH PSYCHIATRIC CENTER
Provider Business Practice Location Address City Name:
STATEN ISLAND
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10305
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
718-668-8050
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
10/26/2021