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NPI Code Detail

MEDICARE: WILLIAM ALANSON WHITE INSTITUTE OF PSYCHIATRY, PSYCHOANALYSIS & PSYCH

MEDICARE: WILLIAM ALANSON WHITE INSTITUTE OF PSYCHIATRY, PSYCHOANALYSIS & PSYCH
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
1103TP0814XPsychoanalysis Psychologist

General Provider Information

NPI Number : 1639109416
Entity Type Code : Organization
Provider Name (Legal Business Name) : WILLIAM ALANSON WHITE INSTITUTE OF PSYCHIATRY, PSYCHOANALYSIS & PSYCH
Provider Business Mailing Address
First Line : 20 W 74TH ST
Second Line :
City : NEW YORK
State : NY
Zip : 10023-2401
Country : US
Telephone Number : 212-873-7070
Fax Number :
Provider Business Practice Location Address
First Line : 20 W 74TH ST
Second Line :
City : NEW YORK
State : NY
Zip : 10023-2401
Country : US
Telephone Number : 212-873-7070
Fax Number :
Authorized Official
Title or Position : DIRECTOR OF ADMINISTRATION
Name : MR. RICHARD HERMAN
Credential : MA
Telephone Number : 212-873-0725
Provider Enumeration Date : 07/04/2006
Last Update Date : 03/16/2018

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Directions to “WILLIAM ALANSON WHITE INSTITUTE OF PSYCHIATRY, PSYCHOANALYSIS & PSYCH ” Practice Location

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