Provider First Line Business Practice Location Address:
NEW YORK PRESBYTERIAN HOSPITAL, PEDIATRIC PSYCHIATRY
Provider Second Line Business Practice Location Address:
3959 BROADWAY, BH6N, 6TH FLOOR, ROOM 619N
Provider Business Practice Location Address City Name:
NEW YORK
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10032
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
212-305-3093
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
03/23/2007