Individual
DR. MICHAEL ALEXANDER FEDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
462 1ST AVE, NEW YORK, NY 10016-9196
(646) 660-2930
Mailing address
7748 167TH ST, FLUSHING, NY 11366-1304
(646) 660-2930
(718) 380-1595
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
P12189
NY
Other
Enumeration date
05/21/2019
Last updated
05/21/2019
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