Individual
DR. BROCHA FENTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
301 OAKFORD ST, WEST HEMPSTEAD, NY 11552-3255
(917) 755-6695
Mailing address
301 OAKFORD ST, WEST HEMPSTEAD, NY 11552-3255
(917) 755-6695
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
018964
NY
Other
Enumeration date
01/12/2022
Last updated
01/12/2022
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