Provider Demographics
NPI:1730359464
Name:RATNER, KAREN TENREIRO (PSYD)
Entity type:Individual
Prefix:DR
First Name:KAREN
Middle Name:TENREIRO
Last Name:RATNER
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:DR
Other - First Name:KAREN
Other - Middle Name:
Other - Last Name:TENREIRO
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PSYD
Mailing Address - Street 1:85 5TH AVE
Mailing Address - Street 2:SUITE 921
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10003-3019
Mailing Address - Country:US
Mailing Address - Phone:917-526-0568
Mailing Address - Fax:
Practice Address - Street 1:85 5TH AVE
Practice Address - Street 2:SUITE 921
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10003-3019
Practice Address - Country:US
Practice Address - Phone:917-526-0568
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-10
Last Update Date:2010-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY016126103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical