Provider Demographics
NPI:1730392937
Name:LARKIN, ANCA LIVEZEANU (PHD)
Entity type:Individual
Prefix:DR
First Name:ANCA
Middle Name:LIVEZEANU
Last Name:LARKIN
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 1:75 W END AVE
Mailing Address - Street 2:R23C
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10023-7853
Mailing Address - Country:US
Mailing Address - Phone:914-967-9383
Mailing Address - Fax:212-842-0024
Practice Address - Street 1:464 FOREST AVE
Practice Address - Street 2:
Practice Address - City:RYE
Practice Address - State:NY
Practice Address - Zip Code:10580-3645
Practice Address - Country:US
Practice Address - Phone:914-967-9383
Practice Address - Fax:212-842-0024
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY014310-1103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist