Individual
MICHAEL CRAIG ROTHMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D
Contact information
Practice address
10 NATHAN D PERLMAN PL, 2 BERNSTEIN PAV, NEW YORK, NY 10003-3851
(212) 420-2400
Mailing address
24 EAST 12TH ST, SUITE 605, NEW YORK, NY 10003
(212) 633-2900
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
015565
NY
103TC0700X
Clinical Psychologist
015565-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02462297
—
NY
Enumeration date
08/20/2006
Last updated
11/24/2010
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