Individual
ANDREW TATE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
3130 37TH ST, ASTORIA, NY 11103-3933
(917) 740-8419
Mailing address
21 GOODWAY DR, ROCHESTER, NY 14623-3029
(585) 764-9017
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
125551
NY
Other
Enumeration date
01/13/2025
Last updated
01/13/2025
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