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Organization

BRUCE BROTTER, PHD, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. B BROTTER PHD (PRESIDENT)
(914) 693-2190
Entity
Organization

Contact information

Practice address
200 BLOOMINGDALE RD, SUITE 2020, WHITE PLAINS, NY 10605
(914) 693-2190
Mailing address
200 BLOOMINGDALE RD, SUITE 2020, WHITE PLAINS, NY 10605
(914) 693-2190

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
PRO30945
NY

Other

Enumeration date
12/03/2009
Last updated
12/03/2009
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