Individual
DR. STEPHANIE MIODUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
434 E 52ND ST, NEW YORK, NY 10022-6487
(732) 947-0501
Mailing address
434 E 52ND ST APT 4B, NEW YORK, NY 10022-6576
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
10/17/2022
Last updated
11/24/2024
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