Individual
VICKY NATHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
425 E 86TH ST, SUITE 1A, NEW YORK, NY 10028-6449
(212) 423-9189
Mailing address
14 ECHO BAY PLACE, NEW ROCHELLE, NY 10805
(914) 939-1177
(914) 939-1168
Taxonomy
Speciality
Code
Description
License number
State
102L00000X
Psychoanalyst
Primary
078766-1
NY
Other
Enumeration date
11/09/2011
Last updated
11/09/2011
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