| Gary M Prottas, Lcsw Psychoanalysis Pllc | |
|
20 West 20th Street Room 239 New York NY 10011-4313 | |
| (212) 645-1152 | |
| (212) 822-8505 |
| Full Name | Gary M Prottas, Lcsw Psychoanalysis Pllc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 20 West 20th Street, New York, New York |
| Authorized Official Name and Position | Gary Michael Prottas (SOLE PROPRIETOR) |
| Authorized Official Contact | 2126451152 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gary M Prottas, Lcsw Psychoanalysis Pllc 20 West 20th Street Room 239 New York NY 10011-4313 Ph: (212) 645-1152 | Gary M Prottas, Lcsw Psychoanalysis Pllc 20 West 20th Street Room 239 New York NY 10011-4313 Ph: (212) 645-1152 |
| NPI Number | 1447707146 |
|---|---|
| Provider Enumeration Date | 09/09/2016 |
| Last Update Date | 11/12/2020 |
| Certification Date | 11/11/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447707146 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | 078653 (New York) | Primary |
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