Individual
FREDERICK C. ENNETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3 W 29TH ST, FIFTH FLOOR, NEW YORK, NY 10001-4504
(212) 725-7850
Mailing address
3 W 29TH ST, FIFTH FLOOR, NEW YORK, NY 10001-4504
(212) 725-7850
Taxonomy
Speciality
Code
Description
License number
State
102L00000X
Psychoanalyst
Primary
P85638
NY
Other
Enumeration date
09/10/2012
Last updated
09/10/2012
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