Individual
MS. MOIRA ELLEN EGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
230 W 105TH ST APT 7E, NEW YORK, NY 10025-3954
(917) 856-7717
Mailing address
230 W 105TH ST APT 7E, NEW YORK, NY 10025-3954
(917) 856-7717
Taxonomy
Speciality
Code
Description
License number
State
103TP0814X
Psychoanalysis Psychologist
Primary
001051-01
NY
Other
Enumeration date
07/30/2012
Last updated
05/29/2020
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