Individual
MIRIAM WAX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
539 E 9TH ST, APT. 1, BROOKLYN, NY 11218-5215
(347) 622-3157
Mailing address
539 E 9TH ST, APT. 1, BROOKLYN, NY 11218-5215
(347) 622-3157
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
F401569-1
NY
Other
Enumeration date
03/20/2014
Last updated
03/20/2014
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