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Individual

DR. ELIZABETH MUNIZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PSY.D.

Contact information

Practice address
280 MADISON AVE SUITE #1110, NEW YORK, NY 10016
(646) 526-4111
Mailing address
139-19 31ST RD, FLUSHING, NY 11354
(646) 526-4111

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
014168
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02366329
NY
01
P2801523
OXFORD
NY
01
VM052
BCBS
NY
Enumeration date
04/17/2007
Last updated
07/08/2007
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