Provider First Line Business Practice Location Address:
BELLEVUE HOSPITAL CENTER CHILD & ADOLESCENT PSYCHIATRY
Provider Second Line Business Practice Location Address:
462 FIRST AVENUE ADMINISTRATION BLDG. 2ND FL.
Provider Business Practice Location Address City Name:
NEW YORK
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10016
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
212-562-4991
Provider Business Practice Location Address Fax Number:
212-562-8653
Provider Enumeration Date:
08/20/2020