Individual
IVANA ROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MFT
Contact information
Practice address
530 E 89TH ST APT 3H, NEW YORK, NY 10128-7901
(917) 847-0500
Mailing address
530 E 89TH ST APT 3H, NEW YORK, NY 10128-7901
(917) 847-0500
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
PO9553
NY
Other
Enumeration date
03/28/2018
Last updated
03/28/2018
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