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NPI Code Detail

MEDICARE: DR. CHRISTINE L. RANCK PHD, LCSW

MEDICARE:  DR. CHRISTINE L. RANCK  PHD, LCSW
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
11041C0700XClinical Social WorkerR043600-1NY
2102L00000XPsychoanalystR043600-1NY

General Provider Information

NPI Number : 1346264710
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CHRISTINE L. RANCK PHD, LCSW
Provider Business Mailing Address
First Line : 235 W END AVE
Second Line : #1G
City : NEW YORK
State : NY
Zip : 10023-3631
Country : US
Telephone Number : 212-873-8079
Fax Number : 917-441-7737
Provider Business Practice Location Address
First Line : 235 W END AVE
Second Line : #1G
City : NEW YORK
State : NY
Zip : 10023-3631
Country : US
Telephone Number : 212-873-8079
Fax Number : 917-441-7737
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/27/2006
Last Update Date : 04/16/2009

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Directions to “ DR. CHRISTINE L. RANCK PHD, LCSW” Practice Location

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