Provider Demographics
NPI:1689437204
Name:AMIR, ARI (LP, MA)
Entity Type:Individual
Prefix:
First Name:ARI
Middle Name:
Last Name:AMIR
Suffix:
Gender:M
Credentials:LP, MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:127 WEIRFIELD ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11221-7234
Mailing Address - Country:US
Mailing Address - Phone:917-880-4148
Mailing Address - Fax:
Practice Address - Street 1:127 WEIRFIELD ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11221-7234
Practice Address - Country:US
Practice Address - Phone:917-880-4148
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-02-05
Last Update Date:2024-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY001195102L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes102L00000XBehavioral Health & Social Service ProvidersPsychoanalyst