Healthcare Provider Details

I. General information

NPI: 1548449184
Provider Name (Legal Business Name): FEDERATION EMPLOYMENT AND GUIDANCE SERVICE, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/31/2007
Last Update Date: 06/21/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

800 EAST GUN HILL ROAD EVANDER CHILDS CAMPUS
BRONX NY
10467
US

IV. Provider business mailing address

315 HUDSON ST NEW YORK
NEW YORK NY
10013-1009
US

V. Phone/Fax

Practice location:
  • Phone: 347-326-8488
  • Fax: 347-202-8487
Mailing address:
  • Phone: 212-366-8035
  • Fax: 212-366-8069

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License Number6287112C
License Number StateNY

VIII. Authorized Official

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