Individual
DR. ELLEN GUSSAROFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW, PH.D.
Contact information
Practice address
120 E 36TH ST, STE #1H, NEW YORK, NY 10016-3465
(212) 686-1547
Mailing address
120 E 36TH ST, STE #1H, NEW YORK, NY 10016-3465
(212) 686-1547
Taxonomy
Speciality
Code
Description
License number
State
102L00000X
Psychoanalyst
Primary
R0281851
NY
Other
Enumeration date
04/12/2007
Last updated
07/08/2007
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