NPI #
1199 Park Ave
New York, NY, 10128-1711
012059
NY
Behavioral Health & Social Service Providers
Counselor
Mental Health
101YM0800X
2022-02-02T00:00:00.000Z
None
2022-03-24T00:00:00.000Z
1199 Park Ave Apt 1C
New York, NY, 10128-1712