DOLORES E BRANDT

Dr DOLORES E BRANDT is a female medical professional, specializing in Psychologist, Clinical. She graduated in 1992 from Indiana University School Of Medicine.

Contact

15 FLETCHER AVE
VALLEY STREAM
NY
115804000

Tel: 5168725010

DOLORES E BRANDT Information

Npi 1710080502
Pac Id 3870750425
Professional Enrollment Id I20120209000103
Last Name BRANDT
First Name DOLORES
Middle Name E
Suffix
Gender F
Credential
Medical School Name INDIANA UNIVERSITY SCHOOL OF MEDICINE
Graduation Year 1992
Primary Specialty PSYCHOLOGIST, CLINICAL
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name
Group Practice Pac Id
Number Of Group Practice Members
Line 1 Street Address 15 FLETCHER AVE
Line 2 Street Address
Marker Of Address Line 2 Suppression
City VALLEY STREAM
State NY
Zip Code 115804000
Phone Number 5168725010
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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