REBECCA BRODOFF


Address: 3692 Bedford Ave Ste P2, Brooklyn, NY 11229-1702
Phone: 6468375557

REBECCA BRODOFF (NPI# 1053957662) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1053957662
Entity Type Individual
Full Name REBECCA BRODOFF
Credential PSYD
Practice Address 3692 Bedford Ave Ste P2
Brooklyn
NY 11229-1702
Practice Telephone 6468375557
Practice Fax Number 6468375495
Mailing Telephone 6468375557
Mailing Fax Number 6468375495
Enumeration Date 2019-11-19
Last Update Date 2019-11-19
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC0700X Psychologist
Specialization: Clinical
023014 NY Behavioral Health & Social Service Providers

Office Location

Street Address 3692 BEDFORD AVE STE P2
City BROOKLYN
State NY
Zip Code 11229-1702

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Taxonomy Information

Taxonomy Code 103TC0700X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical

Taxonomy Definition

Definition to come...

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Competitor

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City BROOKLYN
Zip Code 11229

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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