Provider Demographics
NPI:1164585816
Name:JONAS, RUTH H (PHD)
Entity Type:Individual
Prefix:
First Name:RUTH
Middle Name:H
Last Name:JONAS
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:60 E END AVE
Mailing Address - Street 2:#31C
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10028-7907
Mailing Address - Country:US
Mailing Address - Phone:212-472-1883
Mailing Address - Fax:212-472-5265
Practice Address - Street 1:200 E 33RD ST
Practice Address - Street 2:#2J
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10016-4874
Practice Address - Country:US
Practice Address - Phone:212-684-2721
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-17
Last Update Date:2019-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY009363103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
V41651Medicare PIN