Individual
MICHAEL AMBROSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
1 PARK AVE FL 7, NEW YORK, NY 10016-5818
(646) 754-5052
Mailing address
453 FDR DR APT C504, NEW YORK, NY 10002-5904
(347) 470-8787
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
05/06/2020
Last updated
08/10/2023
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