Doctor Name: | DR. MARIAN WIENER MARGULIES |
NPI Number: | 1285898866 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PH.D. |
License Number: | 012020 |
Business Practice Address: | 203 Rockingstone Ave Larchmont, NY - 105381514 |
Business Phone Number: | 9143845544 |
Business Fax Number: | |
Mailing Address: | 203 Rockingstone Ave, LARCHMONT |
State: | NY |
Postal Code: | 105381514 |
Phone Number: | 9143845544 |
Fax Number: | |
NPI Enumeration Date: | 07/14/2008 |
NPI Last Update Date: | 07/14/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC2200X |
License Number: | 012020 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical Child & Adolescent |
Taxonomy Definition: |