Individual
DOUGLAS M BRODMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
333 E 43RD ST LBBY 1, NEW YORK, NY 10017-4819
(917) 599-7743
Mailing address
577 2ND AVE APT 56, NEW YORK, NY 10016-6349
(917) 599-7743
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
021902
NY
Other
Enumeration date
09/06/2016
Last updated
05/02/2019
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