Individual
JERRY ATKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
38 W 11TH ST, NEW YORK, NY 10011-8778
(917) 593-1646
(212) 677-8631
Mailing address
38 W 11TH ST, NEW YORK, NY 10011-8778
(917) 593-1646
(212) 677-8631
Taxonomy
Speciality
Code
Description
License number
State
102L00000X
Psychoanalyst
Primary
097109
NY
Other
Enumeration date
10/06/2016
Last updated
10/06/2016
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