Ethan, Carol B.

Ethan, Carol B. is an sole proprietor health care provider with primary practice located at 235 W. 76Th St. 14C, New York NY 10023-8217. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychoanalyst, which is considered as her primary health care specialty. Ethan, Carol B. can be contacted via phone (212) 595-4657.

Contact Information

Primary practice address
235 W. 76Th St. 14C New York NY 10023-8217
Fax: (212) 595-4657
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychoanalyst 102L00000X 000376 New York
Behavioral Health & Social Service Providers / Psychoanalyst 102L00000X NYS000376 New York

Profile Details

NPI number 1144421926
LBN Legal business name Ethan, Carol B.
Credentials M.A., NCPSYA, NYS000
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 30th, 2007
Last updated Oct 17th, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1144421926 NPPES
Other NCPSYAP041648 NATL ASSN ADVANCEMENT PSYCHO ANALYSIS
Other P041648 NATL ASSN ADVANCEMENT PSYCHO ANALYSIS

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