Brenner, Dori Ilene
Brenner, Dori Ilene is an sole proprietor health care provider with primary practice located at 436 W Main St Second Floor, Patchogue NY 11772-3012. She recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as her primary health care specialty. Brenner, Dori Ilene can be contacted via phone (631) 758-2170.Contact Information
Primary practice address
436 W Main St Second Floor
Patchogue NY 11772-3012
Phone: (631) 758-2170
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / School | 103TS0200X | 008877-1 | New York |
Profile Details
| NPI number | 1497884167 |
|---|---|
| LBN Legal business name | Brenner, Dori Ilene |
| Credentials | PSY.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 5th, 2007 |
| Last updated | Jul 8th, 2007 - about 19 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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