Individual
DR. DEREK MITCHELL TATE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
36 W 44TH ST, SUITE 1203, NEW YORK, NY 10036-8102
(646) 413-1825
(914) 202-9248
Mailing address
270 BRONXVILLE RD, #A 53, BRONXVILLE, NY 10708-2848
(646) 413-1825
(914) 202-9248
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
213209
NY
Other
Enumeration date
09/01/2005
Last updated
07/25/2024
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