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Individual

DR. EMILIAN MIHAILA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PH.D.

Contact information

Practice address
166-10 ARCHER AVENUE, SUITE A21, JAMAICA, NY 11432-1140
(718) 883-6562
(718) 883-6503
Mailing address
16610 ARCHER AVE, JAMAICA, NY 11433-1146
(718) 883-6562
(718) 883-6503

Taxonomy

Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
016624
NY
103T00000X
Psychologist
016624
NY
103TA0700X
Adult Development & Aging Psychologist
016624
NY
103TB0200X
Cognitive & Behavioral Psychologist
016624
NY
103TC0700X
Clinical Psychologist
Primary
016624
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2717944
NY
Enumeration date
01/25/2006
Last updated
07/31/2008
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