Provider First Line Business Practice Location Address:
THE HALLOWELL CENTER
Provider Second Line Business Practice Location Address:
117 WEST 72ND ST. 3RD FLOOR
Provider Business Practice Location Address City Name:
NY
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10023
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
212-799-7777
Provider Business Practice Location Address Fax Number:
212-799-7772
Provider Enumeration Date:
02/27/2019