Provider First Line Business Practice Location Address:
35 EAST 125TH STREET
Provider Second Line Business Practice Location Address:
NYP - SBHC @ PROMISE ACADEMY
Provider Business Practice Location Address City Name:
NEW YORK
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10035
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
646-537-4231
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
05/30/2012