Provider Demographics
NPI:1043362205
Name:DOLGIN, ANNE HANA (MA, LP)
Entity type:Individual
Prefix:MS
First Name:ANNE
Middle Name:HANA
Last Name:DOLGIN
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Gender:F
Credentials:MA, LP
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Mailing Address - Street 1:3363 SEDGWICK AVE
Mailing Address - Street 2:APT. 6D
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10463-6045
Mailing Address - Country:US
Mailing Address - Phone:917-509-3256
Mailing Address - Fax:718-796-3566
Practice Address - Street 1:241 W 30TH ST
Practice Address - Street 2:2ND FLOOR
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10001-2823
Practice Address - Country:US
Practice Address - Phone:917-509-3256
Practice Address - Fax:718-796-3566
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-17
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY000743-1103TP0814X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TP0814XBehavioral Health & Social Service ProvidersPsychologistPsychoanalysis