Healthcare Provider Details

I. General information

NPI: 1043279201
Provider Name (Legal Business Name): MYRHA OHAYON
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/17/2006
Last Update Date: 05/07/2021
Certification Date: 05/07/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 GUSTAVE L LEVY PL
NEW YORK NY
10029-6504
US

IV. Provider business mailing address

1345 E 38TH ST
BROOKLYN NY
11234-2807
US

V. Phone/Fax

Practice location:
  • Phone: 212-241-1292
  • Fax:
Mailing address:
  • Phone: 347-589-5127
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number069477-1
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: