Provider First Line Business Practice Location Address:
1 NEW YORK PLZ
Provider Second Line Business Practice Location Address:
THE MEDISPA NYC
Provider Business Practice Location Address City Name:
NEW YORK
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10004-1901
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
732-788-3990
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
12/29/2015