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Contact Information

PHILIP BOMZER, PSY.D.
5-02 BRYANT PL
FAIR LAWN, NJ07410-2175
 Phone: 917-374-3074
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
 

Intellectual & Developmental Disabilities

103TM1800X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for PHILIP BOMZER · (Male)

NPI # 1932337581
Status Active
Credentials PSY.D. (Doctor of Psychology)
Entity Individual
Enumeration date 06/22/2009
Last updated 10/26/2020 - About 6 years ago
Sole proprietor 1 Yes
Identifiers
  • NJ License # 35SI00543800
  • NY License # 020582
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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