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Contact Information

DORITH BRODBAR, PhD
887 KELLUM ST
LINDENHURST, NY11757-1508
 Phone: 631-884-3000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychologist

103T00000X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for DORITH BRODBAR · (Female)

NPI Number 1629279070
Status Active
Credentials PhD
Entity Individual
Enumeration date 05/31/2007
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 Yes
Identifiers
  • NY License # 016593
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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