Provider Demographics
NPI:1700929098
Name:MARKOWITZ, THELMA LANDAU (MS NCSP NYS LICENSED)
Entity Type:Individual
Prefix:MS
First Name:THELMA
Middle Name:LANDAU
Last Name:MARKOWITZ
Suffix:
Gender:F
Credentials:MS NCSP NYS LICENSED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:315 CENTRAL PARK W
Mailing Address - Street 2:SUITE 1C
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10025
Mailing Address - Country:US
Mailing Address - Phone:212-873-9345
Mailing Address - Fax:212-923-2443
Practice Address - Street 1:315 CENTRAL PARK W
Practice Address - Street 2:SUITE 1C
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10025
Practice Address - Country:US
Practice Address - Phone:212-873-9345
Practice Address - Fax:212-923-2443
Is Sole Proprietor?:No
Enumeration Date:2007-02-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY003504101YM0800X
24430 CERTIFICATION103TS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Not Answered103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY003504OtherNYS DEPT OF ED
24430OtherNAT SCHOOL PSYCH CERTIFIC