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NPI Code Detail

MEDICARE: DR. MIRIAM NILI ALKON PSY.D.

MEDICARE: DR. MIRIAM NILI ALKON PSY.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103TC2200XClinical Child & Adolescent Psychologist

General Provider Information

NPI Number : 1700034972
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MIRIAM NILI ALKON PSY.D.
Provider Business Mailing Address
First Line : 361 E 19TH ST
Second Line : #2
City : NEW YORK
State : NY
Zip : 10003-2888
Country : US
Telephone Number : 347-546-4266
Fax Number :
Provider Business Practice Location Address
First Line : 361 E 19TH ST
Second Line : #2
City : NEW YORK
State : NY
Zip : 10003-2888
Country : US
Telephone Number : 347-546-4266
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/29/2008
Last Update Date : 09/21/2011

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