Provider Demographics
NPI:1740462241
Name:RICHER, EVE DEBORAH (PSYD)
Entity type:Individual
Prefix:DR
First Name:EVE
Middle Name:DEBORAH
Last Name:RICHER
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:420 E 54TH ST
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10022-5179
Mailing Address - Country:US
Mailing Address - Phone:212-980-0878
Mailing Address - Fax:
Practice Address - Street 1:420 E 54TH ST APT 17C
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10022-5182
Practice Address - Country:US
Practice Address - Phone:212-980-0878
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-27
Last Update Date:2007-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY009227174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYV9B962OtherMEDICARE PROVIDER NUMBER