Individual
DR. NICHOLAS TEBRAKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
445 N STATE RD STE 2, BRIARCLIFF, NY 10510-1460
(914) 582-4177
Mailing address
31 WATSON AVE, OSSINING, NY 10562-4423
(914) 582-4177
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
025699-01
NY
Other
Enumeration date
10/03/2023
Last updated
10/03/2023
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