Individual
DR. BRIAN JONATHAN BUTLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
1025 NORTHERN BLVD, SUITE 305, ROSLYN, NY 11576-1506
(516) 330-1067
Mailing address
1025 NORTHERN BLVD, SUITE 305, ROSLYN, NY 11576-1506
(516) 330-1067
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
016718
NY
Other
Enumeration date
04/01/2013
Last updated
04/01/2013
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