Brodsky, Debra J
Brodsky, Debra J is an sole proprietor health care provider with primary practice located at 39 Yennicock Ave # 1 , Port Washington NY 11050-2130. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Brodsky, Debra J can be contacted via phone (908) 510-7297.Contact Information
Primary practice address
39 Yennicock Ave # 1
Port Washington NY 11050-2130
Phone: (908) 510-7297
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | ||
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 084863 | New York |
Profile Details
| NPI number | 1053801076 |
|---|---|
| LBN Legal business name | Brodsky, Debra J |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 15th, 2018 |
| Last updated | Jul 27th, 2020 - about 6 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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