INNERWISDOM PSYCHOLOGICAL SERVICES PC


Address: 119 W 57th St Ste 516, New York, NY 10019-2302
Phone: 9175899385

INNERWISDOM PSYCHOLOGICAL SERVICES PC (NPI# 1841833969) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1841833969
Entity Type Organization
Organization Name INNERWISDOM PSYCHOLOGICAL SERVICES PC
Practice Address 119 W 57th St Ste 516
New York
NY 10019-2302
Practice Telephone 9175899385
Mailing Telephone 9175899385
Enumeration Date 2019-10-21
Last Update Date 2019-10-21
Authorized Official Name DR. ELIZABETH MARMARAS (PRESIDENT)
Authorized Official Telephone 9175899385
Authorized Official Credential PHD, ABPPP
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC0700X Psychologist
Specialization: Clinical
Behavioral Health & Social Service Providers

Office Location

Street Address 119 W 57TH ST STE 516
City NEW YORK
State NY
Zip Code 10019-2302

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Taxonomy Information

Taxonomy Code 103TC0700X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical

Taxonomy Definition

Definition to come...

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Competitor

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City NEW YORK
Zip Code 10019

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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