Provider Demographics
NPI:1942582630
Name:KAUFMAN IGER, CATHY A (PSYD)
Entity Type:Individual
Prefix:DR
First Name:CATHY
Middle Name:A
Last Name:KAUFMAN IGER
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:993 PARK AVE
Mailing Address - Street 2:#4N
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10028-0809
Mailing Address - Country:US
Mailing Address - Phone:917-968-6966
Mailing Address - Fax:212-879-8574
Practice Address - Street 1:410 E 92ND ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10128-6881
Practice Address - Country:US
Practice Address - Phone:917-968-6966
Practice Address - Fax:212-879-9574
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-19
Last Update Date:2011-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY016346103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist