Provider First Line Business Practice Location Address:
199 CHAMBERS STREET
Provider Second Line Business Practice Location Address:
ATTN: S 343 (COUNSELING CENTER)
Provider Business Practice Location Address City Name:
NEW YORK
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10007-1044
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
212-220-8146
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
04/16/2008