Provider First Line Business Practice Location Address:
110 20 71 ROAD
Provider Second Line Business Practice Location Address:
ARISTA CENTER FOR PSYCHOTHERAPY
Provider Business Practice Location Address City Name:
FOREST HILLS QUEENS
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
11375
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
718-793-3133
Provider Business Practice Location Address Fax Number:
718-793-2023
Provider Enumeration Date:
01/02/2007