Provider Demographics
NPI:1992828230
Name:RASKIN, PATRICIA MAIER (PHD)
Entity type:Individual
Prefix:DR
First Name:PATRICIA
Middle Name:MAIER
Last Name:RASKIN
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 1:115 W 73RD ST
Mailing Address - Street 2:SUITE 1D
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10023-2911
Mailing Address - Country:US
Mailing Address - Phone:212-769-2487
Mailing Address - Fax:212-662-8754
Practice Address - Street 1:115 W 73RD ST
Practice Address - Street 2:SUITE 1D
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10023-2911
Practice Address - Country:US
Practice Address - Phone:212-769-2487
Practice Address - Fax:212-662-8754
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY006169103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist