Individual
MR. BRUCE NYFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
627 BROADWAY, SUITE 201, MASSAPEQUA, NY 11258
(631) 751-1166
(631) 751-0889
Mailing address
8 STURROCK WAY, SETAUKET, NY 11233
(631) 751-1166
(631) 251-0889
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
013459
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01852116
—
NY
Enumeration date
03/06/2007
Last updated
07/08/2007
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