Provider Demographics
NPI:1427254739
Name:INGBER, MARILYN
Entity type:Individual
Prefix:MS
First Name:MARILYN
Middle Name:
Last Name:INGBER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:820 W END AVE
Mailing Address - Street 2:14D
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10025-5371
Mailing Address - Country:US
Mailing Address - Phone:212-932-7922
Mailing Address - Fax:
Practice Address - Street 1:820 W END AVE
Practice Address - Street 2:14D
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10025-5371
Practice Address - Country:US
Practice Address - Phone:212-932-7922
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY000080-1102L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes102L00000XBehavioral Health & Social Service ProvidersPsychoanalyst