Individual
DR. HEATHER MAKOVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
622 W 168TH ST FL 4, NEW YORK, NY 10032-3720
(646) 522-5012
Mailing address
622 WEST 168TH STREET, VANDERBILT CLINIC 4, NEW YORK, NY 10032
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
023399
NY
Other
Enumeration date
04/13/2017
Last updated
10/02/2019
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