Provider First Line Business Practice Location Address:
16318 JAMAICA AVE
Provider Second Line Business Practice Location Address:
COUNSELING SERVICE OF EDNY
Provider Business Practice Location Address City Name:
JAMAICA
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
11432-4901
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
718-658-0010
Provider Business Practice Location Address Fax Number:
718-658-2962
Provider Enumeration Date:
06/22/2009