Provider Demographics
NPI:1356761027
Name:INSTITUTE FOR PSYCHOANALYTIC TRAINING AND RESEARCH
Entity type:Organization
Organization Name:INSTITUTE FOR PSYCHOANALYTIC TRAINING AND RESEARCH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF IPTAR CLINICAL CENTER
Authorized Official - Prefix:MS
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:
Authorized Official - Last Name:EVERT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:212-228-0370
Mailing Address - Street 1:140 W 97TH ST
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10025-6450
Mailing Address - Country:US
Mailing Address - Phone:212-410-0821
Mailing Address - Fax:
Practice Address - Street 1:140 W 97TH ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10025-6450
Practice Address - Country:US
Practice Address - Phone:212-410-0821
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-04-22
Last Update Date:2014-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYREGENTS CHARTER251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health