Provider Demographics
NPI:1689983264
Name:MARKOT, AGNIESZKA MAGDALENA
Entity Type:Individual
Prefix:MISS
First Name:AGNIESZKA
Middle Name:MAGDALENA
Last Name:MARKOT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2 W 46TH ST STE 907
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10036-4556
Mailing Address - Country:US
Mailing Address - Phone:347-268-4248
Mailing Address - Fax:
Practice Address - Street 1:25 W 45TH ST STE 401
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10036-4913
Practice Address - Country:US
Practice Address - Phone:347-268-4248
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-30
Last Update Date:2020-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0843361041C0700X, 1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical