Individual
DR. JESSICA BRODSKY MACKLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
1 GUSTAVE L LEVY PL, NEW YORK, NY 10029-6504
(516) 341-2831
Mailing address
5 MERRILL LN, WOODBURY, NY 11797-2111
(516) 509-9470
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
020667
NY
Other
Enumeration date
04/22/2014
Last updated
01/26/2022
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