Provider Demographics
NPI:1750666145
Name:MARKARIAN, YERAZ (PHD)
Entity Type:Individual
Prefix:MS
First Name:YERAZ
Middle Name:
Last Name:MARKARIAN
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:YERAZ
Other - Middle Name:
Other - Last Name:MESCHIAN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:226 W 26TH ST
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10001-6700
Mailing Address - Country:US
Mailing Address - Phone:929-269-6463
Mailing Address - Fax:
Practice Address - Street 1:226 W 26TH ST # 8-14
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10001
Practice Address - Country:US
Practice Address - Phone:929-269-6463
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-10-17
Last Update Date:2019-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY020575-1103TC0700X
NJ35SI00552000103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical