Individual
MR. JOSEPH J BRUDNO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSYCHIATRIC CLINIC T
Contact information
Practice address
158-08 79TH ST, HOWARD BEACH, NY 11414
(718) 848-0121
Mailing address
158-08 79TH ST, HOWARD BEACH, NY 11414
(718) 848-0121
(718) 845-4528
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
RP000121
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
F100307
FAMILY THERAPY
NJ
01
—
RP000121
CLINICAL S WORK
NY
Enumeration date
06/17/2008
Last updated
06/17/2008
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