Provider Demographics
NPI:1396718433
Name:GINSBURG, IONA H (MD)
Entity type:Individual
Prefix:
First Name:IONA
Middle Name:H
Last Name:GINSBURG
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:55 EAST 86TH ST.
Mailing Address - Street 2:APT 16 C
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10028-1059
Mailing Address - Country:US
Mailing Address - Phone:212-289-5050
Mailing Address - Fax:212-289-5051
Practice Address - Street 1:55 EAST 86TH ST.
Practice Address - Street 2:APT 16 C
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10028-1059
Practice Address - Country:US
Practice Address - Phone:212-289-5050
Practice Address - Fax:212-289-5051
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-09
Last Update Date:2020-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY081871103T00000X
NYMD0818712084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
No103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY447991Medicare ID - Type Unspecified
NYB14831Medicare UPIN