Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 102L00000X | Psychologist | ||
N | 103T00000X | Psychologist | ||
Y | 103G00000X | Clinical Psychologist | 022834 | NY |
Y | 103TC0700X | Clinical Psychologist | 022834 | NY |
NPI | 1013499425 |
---|---|
Provider Name | Aliza Romirowsky |
First Address | New York, NY 10025-7229 |
Second Address | New York, NY 10029-6928 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/08/2018 |
Last Update Date | 11/10/2018 |