Provider Demographics
NPI:1568652477
Name:BERLINER, ATARA J (PHD)
Entity Type:Individual
Prefix:DR
First Name:ATARA
Middle Name:J
Last Name:BERLINER
Suffix:
Gender:F
Credentials:PHD
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Mailing Address - Street 1:114 E 85TH STREET
Mailing Address - Street 2:RAMAZ MIDDLE SCHOOL
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10028
Mailing Address - Country:US
Mailing Address - Phone:212-774-8047
Mailing Address - Fax:212-496-1017
Practice Address - Street 1:154 W 70TH STREET
Practice Address - Street 2:#7E
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10023
Practice Address - Country:US
Practice Address - Phone:917-941-6174
Practice Address - Fax:212-496-1017
Is Sole Proprietor?:No
Enumeration Date:2007-07-26
Last Update Date:2007-07-26
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY013819 1103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical