Provider First Line Business Practice Location Address: 
227 W 27TH ST RM A402
    Provider Second Line Business Practice Location Address: 
FASHION INSTITUTE OF TECHNOLOGY
    Provider Business Practice Location Address City Name: 
NEW YORK
    Provider Business Practice Location Address State Name: 
NY
    Provider Business Practice Location Address Postal Code: 
10001-5902
    Provider Business Practice Location Address Country Code: 
US
    Provider Business Practice Location Address Telephone Number: 
212-217-4190
    Provider Business Practice Location Address Fax Number: 
    Provider Enumeration Date: 
05/18/2007