Provider Demographics
NPI:1952331522
Name:SEWELL, MARGARET COOPER (PHD)
Entity Type:Individual
Prefix:DR
First Name:MARGARET
Middle Name:COOPER
Last Name:SEWELL
Suffix:
Gender:F
Credentials:PHD
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Other - Last Name:
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Mailing Address - Street 1:1 GUSTAVE L LEVY PL
Mailing Address - Street 2:MOUNT SINAI MEDICAL CENTER BOX 1230
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10029-6500
Mailing Address - Country:US
Mailing Address - Phone:212-241-0188
Mailing Address - Fax:212-996-0987
Practice Address - Street 1:1 GUSTAVE L LEVY PL
Practice Address - Street 2:MOUNT SINAI MEDICAL CENTER BOX 1230
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10029-6500
Practice Address - Country:US
Practice Address - Phone:212-241-0188
Practice Address - Fax:212-996-0987
Is Sole Proprietor?:No
Enumeration Date:2006-07-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY013275-1103G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103G00000XBehavioral Health & Social Service ProvidersClinical Neuropsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02009034Medicaid
NY02009034Medicaid
NYV83471Medicare ID - Type Unspecified