Individual
EVAN A REISCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
16 E 79TH ST STE 32, NEW YORK, NY 10075-0150
(917) 804-3349
Mailing address
16 E 79TH ST STE 32, NEW YORK, NY 10075-0150
(917) 804-3349
Taxonomy
Speciality
Code
Description
License number
State
103TP0814X
Psychoanalysis Psychologist
Primary
001264
NY
Other
Enumeration date
08/25/2021
Last updated
09/02/2025
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