Provider Demographics
NPI:1245664762
Name:EKERT ROTHSTEIN, ANNE-BRITT (PHD)
Entity type:Individual
Prefix:DR
First Name:ANNE-BRITT
Middle Name:
Last Name:EKERT ROTHSTEIN
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:169 EDGARS LN
Mailing Address - Street 2:
Mailing Address - City:HASTINGS ON HUDSON
Mailing Address - State:NY
Mailing Address - Zip Code:10706-1107
Mailing Address - Country:US
Mailing Address - Phone:014-674-2224
Mailing Address - Fax:
Practice Address - Street 1:415 CENTRAL PARK W
Practice Address - Street 2:SUITE 1 EL
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10025-4856
Practice Address - Country:US
Practice Address - Phone:917-783-4420
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-09-03
Last Update Date:2013-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYP84891103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical