Provider Demographics
NPI:1962733071
Name:GETZLER-KRAMER, MARIAN (PHD)
Entity type:Individual
Prefix:DR
First Name:MARIAN
Middle Name:
Last Name:GETZLER-KRAMER
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:165 W 66TH ST
Mailing Address - Street 2:7G
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10023-6508
Mailing Address - Country:US
Mailing Address - Phone:212-362-3282
Mailing Address - Fax:718-591-6994
Practice Address - Street 1:441 WEST END AVENUE
Practice Address - Street 2:#1G
Practice Address - City:NY
Practice Address - State:NY
Practice Address - Zip Code:10023-6506
Practice Address - Country:US
Practice Address - Phone:212-362-3282
Practice Address - Fax:718-591-6994
Is Sole Proprietor?:Yes
Enumeration Date:2010-01-29
Last Update Date:2010-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY011001-1103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist