Individual
DR. PAUL BRUCE BRODY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
12 OLYMPIA LANE, MONSEY, NY 10952
(845) 368-0103
Mailing address
12 OLYMPIA LANE, MONSEY, NY 10952
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
79331
NY
Other
Enumeration date
05/25/2007
Last updated
07/08/2007
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