Provider Demographics
NPI:1750404604
Name:SAW, RENEE (MS, NCPSYA, LP)
Entity type:Individual
Prefix:MS
First Name:RENEE
Middle Name:
Last Name:SAW
Suffix:
Gender:F
Credentials:MS, NCPSYA, LP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18 W 25TH ST
Mailing Address - Street 2:#502
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10010-2703
Mailing Address - Country:US
Mailing Address - Phone:212-242-3899
Mailing Address - Fax:
Practice Address - Street 1:481 8TH AVE
Practice Address - Street 2:SUITE 712, NEW YORKER HOTEL
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10001-1809
Practice Address - Country:US
Practice Address - Phone:212-967-4834
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY000064102L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes102L00000XBehavioral Health & Social Service ProvidersPsychoanalyst