Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. NICHOLAS TEBRAKE

Active Sole Proprietor

Psychologist · BRIARCLIFF, NY

Registration Details

NPI Number: 1760262174
Provider Type: Individual
Gender: Male
NPI Issued: Oct 3, 2023 (2.5760191445386 yrs)
Last Updated: Oct 3, 2023
License: 025699-01 (NY)
Sole Proprietor: Yes

Practice Information

Address: 445 N STATE RD STE 2

BRIARCLIFF, NY, 105101460
Browse NY providers · Browse ZIP 10510
Phone: 9145824177
Primary Specialty: Psychologist
103T00000X

Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.