Provider Demographics
NPI:1396240750
Name:URMAN-KLEIN, PHYLLIS (PHD)
Entity type:Individual
Prefix:DR
First Name:PHYLLIS
Middle Name:
Last Name:URMAN-KLEIN
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 1:17 E 89TH ST # 1B
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10128-0615
Mailing Address - Country:US
Mailing Address - Phone:212-289-5776
Mailing Address - Fax:212-496-8880
Practice Address - Street 1:17 E 89TH ST # 1B
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10128-0615
Practice Address - Country:US
Practice Address - Phone:212-289-5776
Practice Address - Fax:212-496-8880
Is Sole Proprietor?:Yes
Enumeration Date:2018-03-28
Last Update Date:2018-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes102L00000XBehavioral Health & Social Service ProvidersPsychoanalyst