Individual
MR. GARY MICHAEL PROTTAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.P.
Contact information
Practice address
20 W 20TH ST RM 239, NEW YORK, NY 10011-4213
(212) 645-1152
(212) 822-8505
Mailing address
20 W 20TH ST RM 239, NEW YORK, NY 10011-4213
(212) 645-1152
(212) 822-8505
Taxonomy
Speciality
Code
Description
License number
State
103TP0814X
Psychoanalysis Psychologist
Primary
000701
NY
Other
Enumeration date
08/31/2006
Last updated
11/12/2020
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