Individual
MS. ALEXANDRA NICKELS EITEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
799 BROADWAY STE 214, NEW YORK, NY 10003-6825
(212) 228-3521
Mailing address
799 BROADWAY STE 214, NEW YORK, NY 10003-6825
(212) 228-3521
Taxonomy
Speciality
Code
Description
License number
State
102L00000X
Psychoanalyst
Primary
000969-1
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/03/2010
Last updated
01/05/2017
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