Provider Demographics
NPI:1487301321
Name:SINGER, ERIC (PHD)
Entity type:Individual
Prefix:DR
First Name:ERIC
Middle Name:
Last Name:SINGER
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:ERIC
Other - Middle Name:
Other - Last Name:SINGER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PHD, NBPP, FABR
Mailing Address - Street 1:330 WEST 58TH STREET
Mailing Address - Street 2:SUITE 611
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10019
Mailing Address - Country:US
Mailing Address - Phone:212-315-3830
Mailing Address - Fax:212-496-6112
Practice Address - Street 1:330 WEST 58TH STREET
Practice Address - Street 2:SUITE 611
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10019
Practice Address - Country:US
Practice Address - Phone:212-315-3830
Practice Address - Fax:212-496-6112
Is Sole Proprietor?:Yes
Enumeration Date:2022-03-09
Last Update Date:2022-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY005143103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty