Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 102L00000X | Psychologist | 000281 | NY |
Y | 103T00000X | Psychologist | 000281 | NY |
NPI | 1003032780 |
---|---|
Provider Name | Miriam K. Kose |
First Address | New York, NY 10023-2114 |
Second Address | New York, NY 10023-2114 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 18/04/2007 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000281 | LICENSED PSYCHOANALYST (01) | NY |
P 941299 | CERTIFIED PSYCHOANALYST (01) | NY |