Individual
BRANDON TYLER SARGENT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2825 3RD AVE STE 402, BRONX, NY 10455-4073
(718) 520-8000
Mailing address
2248 BROADWAY # 1852, NEW YORK, NY 10024-5805
(586) 738-1579
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
122174
NY
Other
Enumeration date
06/09/2023
Last updated
01/29/2024
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