Provider Demographics
NPI:1932320892
Name:ROSS, ARLENE B (PSYCHOANALYSR)
Entity Type:Individual
Prefix:MS
First Name:ARLENE
Middle Name:B
Last Name:ROSS
Suffix:
Gender:F
Credentials:PSYCHOANALYSR
Other - Prefix:MS
Other - First Name:LENA
Other - Middle Name:
Other - Last Name:ROSS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:27 W 96TH ST.
Mailing Address - Street 2:#16D
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10025-6515
Mailing Address - Country:US
Mailing Address - Phone:212-222-1074
Mailing Address - Fax:
Practice Address - Street 1:27 W 96TH ST.
Practice Address - Street 2:#16D
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10025-6515
Practice Address - Country:US
Practice Address - Phone:212-222-1074
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY000538102L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes102L00000XBehavioral Health & Social Service ProvidersPsychoanalyst