Individual
MIRIAM K. KOSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M,S,, NCPSYA.
Contact information
Practice address
244 W 74TH ST, 7A, NEW YORK, NY 10023-2114
(212) 595-4802
Mailing address
244 W 74TH ST, 7A, NEW YORK, NY 10023-2114
(212) 595-4802
Taxonomy
Speciality
Code
Description
License number
State
102L00000X
Psychoanalyst
Primary
000281
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000281
LICENSED PSYCHOANALYST
NY
01
—
P 941299
CERTIFIED PSYCHOANALYST
NY
Enumeration date
04/18/2007
Last updated
07/08/2007
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