Individual
SUSAN ANNE BRUNELLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
341 77TH ST, BROOKLYN, NY 11209-3109
(718) 745-1856
Mailing address
54 BOULEVARD, SUFFERN, NY 10901-6120
(845) 598-4621
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
011050-1
NY
Other
Enumeration date
03/26/2012
Last updated
03/26/2012
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