Provider Demographics
NPI:1982876249
Name:FEDERATION AND EMPLOYMENT GUIDANCE SERVICES
Entity Type:Organization
Organization Name:FEDERATION AND EMPLOYMENT GUIDANCE SERVICES
Other - Org Name:FEGS MANHATTAN DEV DAY TRT (DDT)
Other - Org Type:Other Name
Authorized Official - Title/Position:CHIEF OPERATING OFFICER (COO)
Authorized Official - Prefix:
Authorized Official - First Name:JONAS
Authorized Official - Middle Name:
Authorized Official - Last Name:WAIZER
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:212-366-8024
Mailing Address - Street 1:315 HUDSON ST
Mailing Address - Street 2:9TH FLOOR
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10013-1009
Mailing Address - Country:US
Mailing Address - Phone:212-366-8129
Mailing Address - Fax:
Practice Address - Street 1:315 HUDSON ST
Practice Address - Street 2:6TH FLOOR
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10013-1009
Practice Address - Country:US
Practice Address - Phone:212-366-8373
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-27
Last Update Date:2008-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00745033Medicaid