Provider First Line Business Practice Location Address:
43 WESTCHESTER SQ
Provider Second Line Business Practice Location Address:
PELHAM BAY COUNSELING CENTER, SUITE 3
Provider Business Practice Location Address City Name:
BRONX
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10461-3551
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
914-582-9126
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
01/31/2014