Provider Demographics
NPI:1225216906
Name:MARGOSHES, ELIZABETH SUE (PHD)
Entity type:Individual
Prefix:DR
First Name:ELIZABETH
Middle Name:SUE
Last Name:MARGOSHES
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:269 E 7TH ST
Mailing Address - Street 2:APT.1
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10009-6049
Mailing Address - Country:US
Mailing Address - Phone:347-756-1484
Mailing Address - Fax:
Practice Address - Street 1:269 E 7TH ST
Practice Address - Street 2:APT.1
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10009-6049
Practice Address - Country:US
Practice Address - Phone:347-756-1484
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-05
Last Update Date:2008-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY7806-1103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist