Provider First Line Business Practice Location Address:
80 VANDAM ST.
Provider Second Line Business Practice Location Address:
FEGS MANHATTAN COUNSELING CENTER, 2ND FL.
Provider Business Practice Location Address City Name:
NEW YORK
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10013
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
212-366-8096
Provider Business Practice Location Address Fax Number:
212-366-8144
Provider Enumeration Date:
10/24/2006