Healthcare Provider Details

I. General information

NPI: 1598704470
Provider Name (Legal Business Name): FEDERATION EMPOYMENT AND GUIDANCE SERVICE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/06/2006
Last Update Date: 10/30/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3600 JEROME AVE
BRONX NY
10467-1052
US

IV. Provider business mailing address

315 HUDSON ST 9TH FL.
NEW YORK NY
10013-1009
US

V. Phone/Fax

Practice location:
  • Phone: 718-881-7600
  • Fax: 718-515-8057
Mailing address:
  • Phone: 212-366-8035
  • Fax: 212-366-8069

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number6287112A
License Number StateNY

VIII. Authorized Official

Name: MS. KRISTIN WOODLOCK
Title or Position: COO
Credential:
Phone: 212-366-8402