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1245896133
TIMOTHY ISAK MICHAELS
GLEN OAKS, NY
NPI
1245896133
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: NY 024498)
Enumeration Date
2019-05-15
Last Update Date
2024-03-28
Business Address
TIMOTHY ISAK MICHAELS
7559 263RD ST
GLEN OAKS, NY 11004-1150
Phone number: 917-597-8264
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Mailing Address
TIMOTHY ISAK MICHAELS
7559 263RD ST
GLEN OAKS, NY 11004-1150
Phone number: 917-597-8264
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