Healthcare Provider Details

I. General information

NPI: 1255242301
Provider Name (Legal Business Name): NEW YORK PSYCHOANALYSIS PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/16/2026
Last Update Date: 09/16/2026
Certification Date: 09/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 CADMAN PLZ W FL 12
BROOKLYN NY
11201-3226
US

IV. Provider business mailing address

300 CADMAN PLZ W FL 12
BROOKLYN NY
11201-3226
US

V. Phone/Fax

Practice location:
  • Phone: 917-859-4921
  • Fax:
Mailing address:
  • Phone: 917-859-4921
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code102L00000X
TaxonomyPsychoanalyst
License Number
License Number State

VIII. Authorized Official

Name: JENNIFER COONCE
Title or Position: OWNER
Credential: LP
Phone: 917-859-4921