Individual
DR. MICHAEL A FENICHEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
305 WEST 72ND STREET, SUITE # 8C, NEW YORK, NY 10023-2678
(212) 580-0456
(212) 580-0456
Mailing address
305 WEST 72ND STREET, SUITE # 8C, NEW YORK, NY 10023-2678
(212) 580-0456
(212) 580-0456
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
009149
NY
103TC0700X
Clinical Psychologist
009149-1
NY
Other
Enumeration date
05/03/2007
Last updated
09/11/2025
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