Individual
LAURA BRONFEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6060 251ST ST, LITTLE NECK, NY 11362-2434
(917) 691-6450
Mailing address
6060 251ST ST, LITTLE NECK, NY 11362-2434
(917) 691-6450
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
11/18/2019
Last updated
11/18/2019
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