Individual
MICHAEL ANTHONY TATE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
447 BROADWAY FL 2, NEW YORK, NY 10013-2562
(917) 485-0901
Mailing address
447 BROADWAY FL 2, NEW YORK, NY 10013-2562
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
026422
NY
Other
Enumeration date
06/12/2024
Last updated
06/12/2024
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