Individual
MATTHIAS LEUTRUM VON ERTINGEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LP
Contact information
Practice address
139 FULTON ST RM 612, NEW YORK, NY 10038-2534
(347) 352-1049
Mailing address
90 GOLD ST APT 23E, NEW YORK, NY 10038-1843
(917) 402-4786
Taxonomy
Speciality
Code
Description
License number
State
102L00000X
Psychoanalyst
Primary
001132
NY
Other
Enumeration date
06/03/2022
Last updated
06/03/2022
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