Provider Demographics
NPI:1407979347
Name:ORNSTEIN, JUDITH (MS, ATR, BCD, NCPSYA)
Entity Type:Individual
Prefix:MS
First Name:JUDITH
Middle Name:
Last Name:ORNSTEIN
Suffix:
Gender:F
Credentials:MS, ATR, BCD, NCPSYA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:276 SACKETT ST APT 3R
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11231-4356
Mailing Address - Country:US
Mailing Address - Phone:212-591-1985
Mailing Address - Fax:
Practice Address - Street 1:244 5TH AVE
Practice Address - Street 2:SUITE 8C
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10001-7604
Practice Address - Country:US
Practice Address - Phone:212-591-1985
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY000266-1102L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes102L00000XBehavioral Health & Social Service ProvidersPsychoanalyst