Individual
IRA BAROUCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.A.
Contact information
Practice address
80 5TH AVE, SUITE 903A, ROOM 3, NEW YORK, NY 10011-8002
(212) 259-9334
Mailing address
80 5TH AVE, SUITE 903A, ROOM 3, NEW YORK, NY 10011-8002
(212) 259-9334
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
102L00000X
Psychoanalyst
Primary
000197
NY
Other
Enumeration date
02/02/2007
Last updated
06/06/2008
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