Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 103G00000X | Clinical Psychologist | 014844 | NY |
N | 103TC0700X | Clinical Psychologist | 014844 | NY |
N | 102L00000X | Psychologist | 014844 | NY |
N | 103T00000X | Psychologist | 014844 | NY |
N | 103G00000X | Clinical Psychologist | 014844 | NY |
N | 103TC0700X | Clinical Psychologist | 014844 | NY |
N | 103TC1900X | Counseling Psychologist | 014844 | NY |
N | 103TR0400X | Rehabilitation Psychologist | 014844 | NY |
NPI | 1073721189 |
---|---|
Provider Name | Dr. Joseph F. Rath |
First Address | New York, NY 10009-4227 |
Second Address | New York, NY 10016-3295 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 21/05/2007 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
02582507 | (05) | NY |