Individual
IRIS SUGARMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
103 E 86TH ST, 12C, NEW YORK, NY 10028
(212) 828-4459
Mailing address
103 E 86TH ST, 12C, NEW YORK, NY 10028-1058
(212) 828-4459
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
R009289
NY
103TP0814X
Psychoanalysis Psychologist
R009289
NY
104100000X
Social Worker
R009289
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0096565
GHI
NY
01
—
113475
VALUE OPTIONS
NY
Enumeration date
12/18/2006
Last updated
03/14/2008
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