Provider First Line Business Practice Location Address:
570 GRAND ST
Provider Second Line Business Practice Location Address:
EAST RIVER CHILD DEVELOPMENT CENTER (SPEECH DEPT.)
Provider Business Practice Location Address City Name:
NEW YORK
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10002-4379
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
212-254-7301
Provider Business Practice Location Address Fax Number:
212-254-8963
Provider Enumeration Date:
02/02/2011