Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 102L00000X | Psychologist | 017409 | NY |
N | 103T00000X | Psychologist | 017409 | NY |
N | 103TB0200X | Cognitive & Behavioral Psychologist | 017409 | NY |
Y | 103G00000X | Clinical Psychologist | 017409 | NY |
Y | 103TC0700X | Clinical Psychologist | 017409 | NY |
NPI | 1124292396 |
---|---|
Provider Name | Dr. Miriam Labin |
First Address | Brooklyn, NY 11203-2057 |
Second Address | Brooklyn, NY 11203-2057 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/04/2008 |
Last Update Date | 17/04/2008 |