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Individual

MRS. PHYLLIS ROTHENBERG RAUCH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.S.

Contact information

Practice address
515 W END AVE, SUITE 1A, NEW YORK, NY 10024-4345
(212) 595-0242
Mailing address
515 W END AVE, SUITE 1A, NEW YORK, NY 10024-4345
(212) 595-0242

Taxonomy

Speciality
Code
Description
License number
State
102L00000X
Psychoanalyst
Primary
000087
NY

Other

Enumeration date
07/18/2008
Last updated
07/18/2008
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