Provider Demographics
NPI:1720582190
Name:CATES, KEVIN WILLIAM (MD)
Entity Type:Individual
Prefix:
First Name:KEVIN
Middle Name:WILLIAM
Last Name:CATES
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:10 W 37TH ST
Mailing Address - Street 2:ATTN: KEVIN CATES
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10018-7481
Mailing Address - Country:US
Mailing Address - Phone:929-296-1624
Mailing Address - Fax:
Practice Address - Street 1:10 W 37TH ST
Practice Address - Street 2:ATTN: KEVIN CATES, BROOKLYN MINDS
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10018
Practice Address - Country:US
Practice Address - Phone:929-296-1624
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-03-21
Last Update Date:2022-06-22
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY3127472084P0800X, 2084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry