Healthcare Provider Details

I. General information

NPI: 1346429941
Provider Name (Legal Business Name): MARILYN OHRENSTEIN DSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: LYNN OHRENSTEIN

II. Dates (important events)

Enumeration Date: 10/31/2007
Last Update Date: 10/31/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

401 EAST 60TH STREET APT 27C
NEW YORK NY
10022
US

IV. Provider business mailing address

401 EAST 60TH STREET
NEW YORK NY
10022
US

V. Phone/Fax

Practice location:
  • Phone: 212-873-5308
  • Fax: 212-706-9596
Mailing address:
  • Phone: 212-873-5308
  • Fax: 212-706-9596

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberR001415
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: