Individual
DR. MICHAEL GARY ROTHENBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
5 EAST 94TH STREET, NEW YORK, NY 10128
(212) 988-4675
Mailing address
12 EAST 92ND STREET APARTMENT 2, NEW YORK, NY 10128
(212) 996-1596
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
4285
NY
Other
Enumeration date
04/18/2019
Last updated
04/18/2019
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