Individual
BRANDON PATALLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
411 W 114TH ST FL 2, NEW YORK, NY 10025-1710
(212) 523-1067
Mailing address
411 W 114TH ST FL 2, NEW YORK, NY 10025-1710
(212) 523-1067
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
—
NY
Other
Enumeration date
08/11/2021
Last updated
08/11/2021
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