Provider First Line Business Practice Location Address:
110 WILLIAM ST
Provider Second Line Business Practice Location Address:
PACIFIC COLLEGE CLINIC - GROUND FLOOR
Provider Business Practice Location Address City Name:
NEW YORK
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10038-3901
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
212-982-4600
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
04/01/2014