Provider Demographics
NPI:1275759268
Name:FARBER, ELLEN A (PHD)
Entity Type:Individual
Prefix:DR
First Name:ELLEN
Middle Name:A
Last Name:FARBER
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 1:200 EAST 94TH STREET
Mailing Address - Street 2:SUITE 1611
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10128-3911
Mailing Address - Country:US
Mailing Address - Phone:212-987-5651
Mailing Address - Fax:
Practice Address - Street 1:200 EAST 94TH STREET
Practice Address - Street 2:SUITE 1611
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10128-3911
Practice Address - Country:US
Practice Address - Phone:212-987-5651
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY010187103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist