Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103G00000X | Clinical Psychologist | 014697-1 | NY |
Y | 103TC0700X | Clinical Psychologist | 014697-1 | NY |
NPI | 1003974924 |
---|---|
Provider Name | Dr. David Junowitz |
First Address | Bronx, NY 10451 |
Second Address | Bronx, NY 10451 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/12/2006 |
Last Update Date | 24/01/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
014697 | (05) | NY |