MIRIAM WAX


Address: 539 E 9th St, Apt. 1, Brooklyn, NY 11218-5215
Phone: 3476223157

MIRIAM WAX (NPI# 1588081103) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1588081103
Entity Type Individual
Full Name MIRIAM WAX
Credential PMHNP
Practice Address 539 E 9th St
Apt. 1
Brooklyn
NY 11218-5215
Practice Telephone 3476223157
Mailing Telephone 3476223157
Enumeration Date 2014-03-20
Last Update Date 2014-03-20
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
F401569-1 NY Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 539 E 9TH ST
APT. 1
City BROOKLYN
State NY
Zip Code 11218-5215

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Taxonomy Information

Taxonomy Code 363LP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

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Competitor

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City BROOKLYN
Zip Code 11218

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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