Dr MICHAEL NORMAN DIVAK is a male medical professional, specializing in Psychologist, Clinical. He graduated in 2003.
66 MONTGOMERY ST
SUITE 2
CANAJOHARIE
NY
133171212
Tel: 5186736001
| Npi | 1508284704 |
| Pac Id | 9638476401 |
| Professional Enrollment Id | I20160322000705 |
| Last Name | DIVAK |
| First Name | MICHAEL |
| Middle Name | NORMAN |
| Suffix | |
| Gender | M |
| Credential | |
| Medical School Name | OTHER |
| Graduation Year | 2003 |
| Primary Specialty | PSYCHOLOGIST, CLINICAL |
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| Line 1 Street Address | 66 MONTGOMERY ST |
| Line 2 Street Address | SUITE 2 |
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| City | CANAJOHARIE |
| State | NY |
| Zip Code | 133171212 |
| Phone Number | 5186736001 |
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| Professional Accepts Medicare Assignment | M |
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