Provider Demographics
NPI:1871777375
Name:ULANOV, ANN BELFORD (PHD)
Entity type:Individual
Prefix:DR
First Name:ANN
Middle Name:BELFORD
Last Name:ULANOV
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 1:99 CLAREMONT AVE
Mailing Address - Street 2:APT. 602
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10027-5707
Mailing Address - Country:US
Mailing Address - Phone:212-866-2199
Mailing Address - Fax:
Practice Address - Street 1:201 W 77TH ST
Practice Address - Street 2:SUITE 15D
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10024-6606
Practice Address - Country:US
Practice Address - Phone:212-866-2199
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-20
Last Update Date:2007-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY19000320102L00000X
102L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes102L00000XBehavioral Health & Social Service ProvidersPsychoanalyst