MEDICARE: DR. JANE BARASCH HANKIN PHD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103TC1900X	Counseling Psychologist	NY 012318-1	NY

General Provider Information

NPI Number	:	1326101577
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JANE BARASCH HANKIN PHD

Provider Business Mailing Address
First Line	:	PO BOX 503
Second Line	:
City	:	PURCHASE
State	:	NY
Zip	:	10577-0503
Country	:	US
Telephone Number	:	914-921-3533
Fax Number	:	914-631-1104

Provider Business Practice Location Address
First Line	:	411 THEODORE FREMD AVE
Second Line	:	SUITE 206
City	:	RYE
State	:	NY
Zip	:	10580-1410
Country	:	US
Telephone Number	:	914-320-3063
Fax Number	:	14-931-1104

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/19/2006
Last Update Date	:	07/08/2007

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