Provider Demographics
NPI:1730235441
Name:LIEF, EVELYN RIVIA (PHD)
Entity type:Individual
Prefix:DR
First Name:EVELYN
Middle Name:RIVIA
Last Name:LIEF
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 1:326 COLUMBUS AVENUE
Mailing Address - Street 2:APT 6F
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10023-8446
Mailing Address - Country:US
Mailing Address - Phone:212-362-0536
Mailing Address - Fax:
Practice Address - Street 1:326 COLUMBUS AVENUE
Practice Address - Street 2:APT 6F
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10023-8446
Practice Address - Country:US
Practice Address - Phone:212-362-0536
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY(19) 000088102L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes102L00000XBehavioral Health & Social Service ProvidersPsychoanalyst
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY4205707OtherAETNA
NYP1300908OtherOXFORD
NY9449093OtherPHCS