Provider Demographics
NPI:1053549428
Name:HUSARSKY, MIRIAM (MS SPED)
Entity type:Individual
Prefix:
First Name:MIRIAM
Middle Name:
Last Name:HUSARSKY
Suffix:
Gender:F
Credentials:MS SPED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:424 ARLINGTON RD
Mailing Address - Street 2:
Mailing Address - City:CEDARHURST
Mailing Address - State:NY
Mailing Address - Zip Code:11516-1206
Mailing Address - Country:US
Mailing Address - Phone:718-360-3841
Mailing Address - Fax:
Practice Address - Street 1:424 ARLINGTON RD
Practice Address - Street 2:
Practice Address - City:CEDARHURST
Practice Address - State:NY
Practice Address - Zip Code:11516-1206
Practice Address - Country:US
Practice Address - Phone:718-360-3841
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-24
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist