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Search › New York › 103TC0700X

Michael Divak, PH.D

NPI 1508284704 · on the registry since 2014 · sole proprietor

Practice

Address
66 Montgomery St Ste 2
Canajoharie, NY 13317
Phone
(518) 673-6001
Fax
(518) 673-6033
Organisation at this address
York Psychology, P.L.L.C.
Dr Michael Divak Psychologist
Inferred from a shared address, not stated in the registry.
Clinicians at this address
2

Registry record

Primary taxonomy
103TC0700X
103TC0700X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2018-08-22

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York