MEDICARE: MS. MOIRA ELLEN EGAN

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	103TP0814X	Psychoanalysis Psychologist	001051-01	NY

General Provider Information

NPI Number	:	1548516347
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. MOIRA ELLEN EGAN

Provider Business Mailing Address
First Line	:	230 W 105TH ST APT 7E
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10025-3954
Country	:	US
Telephone Number	:	917-856-7717
Fax Number	:

Provider Business Practice Location Address
First Line	:	230 W 105TH ST APT 7E
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10025-3954
Country	:	US
Telephone Number	:	917-856-7717
Fax Number	:

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

Provider Enumeration Date	:	07/30/2012
Last Update Date	:	05/29/2020

Similar Medicare Providers

1013109230 — DR. ADAM M. BRICKMAN PH.D.
Practice Location Address:

615 FORT WASHINGTON AVE , #3D
NEW YORK, NY
10040-3954

Practice Phone: 646-641-0616
Practice Fax:

1588844757 — DR. MOLLY E ZIMMERMAN PH.D.
Practice Location Address:

615 FORT WASHINGTON AVE , APT. 3D
NEW YORK, NY
10040-3954

Practice Phone: 347-604-0414
Practice Fax:

1801236013 — WALGREEN CO
Practice Location Address:

3954 BROADWAY
NEW YORK, NY
10032-1543

Practice Phone: 646-968-4000
Practice Fax: 646-968-4001

1386398063 — CHRISTOPHER YU
Practice Location Address:

3954 BROADWAY
NEW YORK, NY
10032-1543

Practice Phone: 646-968-4000
Practice Fax: 646-968-4001

1225851884 — WORLDWIDE CONSULTING CAPITAL LLC
Practice Location Address:

457 FDR DR APT A301
NEW YORK, NY
10002-3954

Practice Phone: 917-842-8280
Practice Fax:

1063369767 — ASHLEY GAWEY
Practice Location Address:

1208 NAPOLEON AVE
NEW ORLEANS, LA
70115-3954

Practice Phone: 405-250-4834
Practice Fax:

Directions to “ MS. MOIRA ELLEN EGAN ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.