Individual
MS. LAURA BROFKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
278 E MAIN ST, SMITHTOWN, NY 11787-2915
(631) 361-6960
(631) 366-5346
Mailing address
278 E MAIN ST, SMITHTOWN, NY 11787-2915
(631) 361-6960
(631) 366-5346
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
1285017
NY
Other
Enumeration date
07/17/2012
Last updated
07/17/2012
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