Organization
FIFTH AVENUE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JERRY WEBBER LMHC (CLINIC DIRECTOR)
(212) 989-2990
Entity
Organization
Contact information
Practice address
10 E 21ST ST, FLOOR 7, NEW YORK, NY 10010-7108
(212) 989-2990
Mailing address
332 E 84TH ST, APT. 5D, NEW YORK, NY 10028-4443
(917) 750-3594
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
002497
NY
Other
Enumeration date
07/27/2006
Last updated
08/22/2020
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