Individual
ESIN EGIT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
26 W 9TH ST APT 5E, NEW YORK, NY 10011-8922
(347) 307-5100
Mailing address
26 W 9TH ST APT 5E, NEW YORK, NY 10011-8922
(347) 307-5100
Taxonomy
Speciality
Code
Description
License number
State
102L00000X
Psychoanalyst
Primary
001138-01
NY
Other
Enumeration date
06/13/2022
Last updated
07/12/2022
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