Provider First Line Business Practice Location Address:
EMBLEM HEALTH 55 WATER STREET
Provider Second Line Business Practice Location Address:
4TH FLOOR / 04C11
Provider Business Practice Location Address City Name:
NEW YORK
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10041
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
347-501-1452
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
02/15/2018