Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TB0200X | Cognitive & Behavioral Psychologist | 019008 | NY |
NPI | 1134380140 |
---|---|
Provider Name | Sarah M Markowitz |
First Address | Ithaca, NY 14850-9700 |
Second Address | Ithaca, NY 14850-5403 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 23/06/2008 |
Last Update Date | 08/08/2012 |