Individual
MR. BRIAN O. SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
563 E 52ND ST, BROOKLYN, NY 11203-5311
(212) 361-9334
(718) 495-1487
Mailing address
563 E 52ND ST, BROOKLYN, NY 11203-5311
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
004076
NY
Other
Enumeration date
09/22/2009
Last updated
09/22/2009
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