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20 W 74th St New York NY 10023-2401 | |
| (212) 873-7070 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Psychologist - Psychoanalysis |
| Location | 20 W 74th St, New York, New York |
| Authorized Official Name and Position | Richard Herman (DIRECTOR OF ADMINISTRATION) |
| Authorized Official Contact | 2128730725 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
20 W 74th St New York NY 10023-2401 Ph: (212) 873-7070 | 20 W 74th St New York NY 10023-2401 Ph: (212) 873-7070 |
| NPI Number | 1639109416 |
|---|---|
| Provider Enumeration Date | 07/04/2006 |
| Last Update Date | 03/16/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639109416 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TP0814X | Psychologist - Psychoanalysis | (* (Not Available)) | Primary |
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