Individual
DR. BENJAMIN HOWARD MICHAELIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
590 W END AVE, SUITE 1A, NEW YORK, NY 10024-1722
(917) 992-0120
Mailing address
360 CABRINI BLVD, APARTMENT 8K, NEW YORK, NY 10040-3635
(917) 992-0120
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
016348
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02689370
—
NY
Enumeration date
12/18/2006
Last updated
07/08/2007
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