Provider Demographics
NPI:1164461133
Name:FEDERATION EMPLOYMENT AND GUIDANCE SERVICE, INC.
Entity Type:Organization
Organization Name:FEDERATION EMPLOYMENT AND GUIDANCE SERVICE, INC.
Other - Org Name:FEGS HEALTH AND HUMAN SERVICES SYSTEM
Other - Org Type:Doing Business As
Authorized Official - Title/Position:COO
Authorized Official - Prefix:MS
Authorized Official - First Name:KRISTIN
Authorized Official - Middle Name:
Authorized Official - Last Name:WOODLOCK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:212-366-8402
Mailing Address - Street 1:315 HUDSON ST
Mailing Address - Street 2:9TH FL.
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10013-1009
Mailing Address - Country:US
Mailing Address - Phone:212-366-8035
Mailing Address - Fax:212-366-8069
Practice Address - Street 1:175 FULTON AVE
Practice Address - Street 2:3RD FL.
Practice Address - City:HEMPSTEAD
Practice Address - State:NY
Practice Address - Zip Code:11550-3718
Practice Address - Country:US
Practice Address - Phone:516-485-5710
Practice Address - Fax:516-485-4225
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-05
Last Update Date:2013-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY6287104A261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00257805Medicaid
NY00257805Medicaid