Individual
ALAN KLAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
FAR ROCKAWAY NURSING HOME, 13-11 VIRGINIA ST., FAR ROCKAWAY, NY 11691
(718) 327-2909
Mailing address
10 VANDERBILT DR, GREAT NECK, NY 11020-1117
(516) 868-3421
(516) 623-3644
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
004050
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00391286
—
NY
01
—
35059 16H
GHI ID #
NY
Enumeration date
06/28/2006
Last updated
07/09/2007
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