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Individual
DR. WALLACE BRENT BZDELL
Active
Individual
DR. WALLACE BRENT BZDELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ED.D.
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
015981-1
NY
Other
Enumeration date
05/07/2020
Last updated
05/07/2020
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