Individual
DR. MICHAEL ALAN PORTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
475 PARK AVENUE SOUTH, 5TH FLOOR, NEW YORK, NY 10016-6901
(646) 244-6321
Mailing address
10 HANOVER SQUARE, 17B, NEW YORK, NY 10005-3510
(646) 244-6321
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
016725
NY
Other
Enumeration date
02/09/2007
Last updated
07/08/2007
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