Provider Demographics
NPI:1972627891
Name:ATLAS, NANCY CLAIRE (PH,D)
Entity Type:Individual
Prefix:DR
First Name:NANCY
Middle Name:CLAIRE
Last Name:ATLAS
Suffix:
Gender:F
Credentials:PH,D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:215 E 80TH ST
Mailing Address - Street 2:SUITE 4J
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10021-0531
Mailing Address - Country:US
Mailing Address - Phone:212-879-6139
Mailing Address - Fax:212-737-3783
Practice Address - Street 1:215 E 80TH ST
Practice Address - Street 2:SUITE 4J
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10021-0531
Practice Address - Country:US
Practice Address - Phone:212-879-6139
Practice Address - Fax:212-737-3783
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY008863103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical