Individual
CHANAN REIFEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
160 W 86TH ST, NEW YORK, NY 10024-4018
(212) 875-1300
Mailing address
80 METROPOLITAN AVE, BROOKLYN, NY 11249-3919
(401) 473-1111
Taxonomy
Speciality
Code
Description
License number
State
103TP2701X
Group Psychotherapy Psychologist
Primary
6722100A
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00244335
—
NY
Enumeration date
09/12/2024
Last updated
09/12/2024
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