Individual
DR. JONATHAN KRATTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
25 MELVILLE PARK RD # 224, MELVILLE, NY 11747-3175
(516) 435-6314
Mailing address
420 STONECROP RD, RIVERHEAD, NY 11901-1220
(516) 435-6314
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
007789
NY
Other
Enumeration date
08/31/2011
Last updated
10/25/2020
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