Individual
DR. ALEC JAY MIODOWNIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
800 POLY PL, BROOKLYN, NY 11209-7104
(718) 836-6600
Mailing address
800 POLY PL, BROOKLYN, NY 11209-7104
(718) 836-6600
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
024540
NY
Other
Enumeration date
10/12/2021
Last updated
10/06/2022
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