Provider Demographics
NPI:1356644611
Name:WOOL, ROBERT (PSYCHOANALYST)
Entity Type:Individual
Prefix:
First Name:ROBERT
Middle Name:
Last Name:WOOL
Suffix:
Gender:M
Credentials:PSYCHOANALYST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:155 RIVERSIDE DR APT 6E
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10024-2267
Mailing Address - Country:US
Mailing Address - Phone:212-245-7698
Mailing Address - Fax:
Practice Address - Street 1:155 RIVERSIDE DR APT 6E
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10024-2267
Practice Address - Country:US
Practice Address - Phone:212-245-7698
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-12-08
Last Update Date:2010-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY000018102L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes102L00000XBehavioral Health & Social Service ProvidersPsychoanalyst