Provider Demographics
NPI:1689889800
Name:BINDMAN, IRA (PHD)
Entity Type:Individual
Prefix:
First Name:IRA
Middle Name:
Last Name:BINDMAN
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:166 E 96TH ST
Mailing Address - Street 2:3B
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10128-2565
Mailing Address - Country:US
Mailing Address - Phone:212-427-4336
Mailing Address - Fax:212-427-4336
Practice Address - Street 1:175 E 96TH ST
Practice Address - Street 2:22D
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10128-6200
Practice Address - Country:US
Practice Address - Phone:212-369-4477
Practice Address - Fax:212-427-4336
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY000010102L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes102L00000XBehavioral Health & Social Service ProvidersPsychoanalyst