Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 102L00000X | Psychologist | 3404 | NJ |
N | 103T00000X | Psychologist | 3404 | NJ |
N | 103TC2200X | Clinical Child & Adolescent Psychologist | 3404 | NJ |
NPI | 1033266028 |
---|---|
Provider Name | Dr. Michael Zelkowitz |
First Address | Union, NJ 07083-5731 |
Second Address | Union, NJ 07083-5731 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 04/01/2007 |
Last Update Date | 08/07/2007 |