Provider Demographics
NPI:1730244435
Name:MARKOWITZ, MARVIN DAVID (PHD)
Entity type:Individual
Prefix:DR
First Name:MARVIN
Middle Name:DAVID
Last Name:MARKOWITZ
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:20 INDIAN HILL RD
Mailing Address - Street 2:
Mailing Address - City:POUND RIDGE
Mailing Address - State:NY
Mailing Address - Zip Code:10576-1729
Mailing Address - Country:US
Mailing Address - Phone:914-764-8630
Mailing Address - Fax:914-764-8630
Practice Address - Street 1:26 OAKWOOD AVE
Practice Address - Street 2:.
Practice Address - City:WHITE PLAINS
Practice Address - State:NY
Practice Address - Zip Code:10605-1143
Practice Address - Country:US
Practice Address - Phone:914-949-7359
Practice Address - Fax:914-764-8630
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY000646103TP0814X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TP0814XBehavioral Health & Social Service ProvidersPsychologistPsychoanalysis