Individual
BATYA SHIRA BRONSTEIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
17 FORT GEORGE HL APT 7J, NEW YORK, NY 10040-2516
(212) 942-5482
Mailing address
2533 BESSEMUND AVE, FAR ROCKAWAY, NY 11691-1815
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
021929-1
NY
103TC2200X
Clinical Child & Adolescent Psychologist
021929-1
NY
Other
Enumeration date
10/11/2021
Last updated
10/11/2021
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