Provider Demographics
NPI:1407908312
Name:SADOWSKY, MYRNA ILENE (MSW)
Entity type:Individual
Prefix:MS
First Name:MYRNA
Middle Name:ILENE
Last Name:SADOWSKY
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2 LAGRANGE AVE STE 228
Mailing Address - Street 2:
Mailing Address - City:POUGHKEEPSIE
Mailing Address - State:NY
Mailing Address - Zip Code:12603-7201
Mailing Address - Country:US
Mailing Address - Phone:914-475-2301
Mailing Address - Fax:845-773-9157
Practice Address - Street 1:2 LAGRANGE AVE STE 228
Practice Address - Street 2:
Practice Address - City:POUGHKEEPSIE
Practice Address - State:NY
Practice Address - Zip Code:12603-7201
Practice Address - Country:US
Practice Address - Phone:914-475-2301
Practice Address - Fax:845-773-9157
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-18
Last Update Date:2024-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYPR0185471103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist