Healthcare Provider Details

I. General information

NPI: 1134380140
Provider Name (Legal Business Name): SARAH M MARKOWITZ PH.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/23/2008
Last Update Date: 01/27/2023
Certification Date: 01/27/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

950 DANBY RD STE 202
ITHACA NY
14850-5714
US

IV. Provider business mailing address

950 DANBY RD STE 202F
ITHACA NY
14850-5714
US

V. Phone/Fax

Practice location:
  • Phone: 607-260-3100
  • Fax:
Mailing address:
  • Phone: 607-260-3100
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TB0200X
TaxonomyCognitive & Behavioral Psychologist
License Number019008
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: