Individual
DR. GARRY RICHARD DBRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC ND LCSW DA CBN
Contact information
Practice address
977 GLEN COVE AVE, GLEN HEAD, NY 11545
(516) 609-0890
(516) 609-0893
Mailing address
10 CEDAR SWAMP RD, STE 3, GLEN COVE, NY 11542-3746
(516) 609-0890
(516) 609-0893
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
R020706
NY
1041C0700X
Clinical Social Worker
R0207061
NY
111N00000X
Chiropractor
Primary
X0055941
NY
133N00000X
Nutritionist
0037641
NY
133V00000X
Registered Dietitian
0037641
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1046278
ASH
—
01
—
5897488
GHI
—
01
—
7956083
AETNA
—
01
—
DG5594
ATLANTIS
—
01
—
P2537094
OXFORD
—
01
—
P3105888
OXFORD
—
01
—
P3161674
OXFORD
—
01
—
X8H50
EMPIRE
—
Enumeration date
11/14/2006
Last updated
10/25/2022
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