Individual
DR. SHELLY OSTRO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1 W 64TH ST, NEW YORK, NY 10023-6734
(929) 428-2859
Mailing address
318 W 100TH ST APT 5C, NEW YORK, NY 10025-5372
(929) 428-2859
Taxonomy
Speciality
Code
Description
License number
State
102L00000X
Psychoanalyst
Primary
001149
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
785389941
DRIVER LICENSE
NY
Enumeration date
08/19/2022
Last updated
08/19/2022
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