Doctor Name: | DR. MIRIAM SLOMOVITS |
NPI Number: | 1083790398 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PH.D |
License Number: | 006489 |
Business Practice Address: | 1041 Magnolia Pl Woodmere, NY - 115981120 |
Business Phone Number: | 5163740881 |
Business Fax Number: | |
Mailing Address: | 1041 Magnolia Pl, WOODMERE |
State: | NY |
Postal Code: | 115981120 |
Phone Number: | 5163740881 |
Fax Number: | |
NPI Enumeration Date: | 10/29/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | 006489 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |