Provider First Line Business Practice Location Address:
16 W 10TH ST
Provider Second Line Business Practice Location Address:
CENTER FOR MODERN PSYCHOANALYTIC STUDIES
Provider Business Practice Location Address City Name:
NEW YORK
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10011-8707
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
917-478-0677
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
05/01/2013