Bomzer, Philip

Bomzer, Philip is an sole proprietor health care provider with primary practice located at 5-02 Bryant Pl , Fair Lawn NJ 07410-2175. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Mental Retardation & Developmental Disabilities. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Bomzer, Philip can be contacted via phone (917) 374-3074.

Contact Information

Primary practice address
5-02 Bryant Pl Fair Lawn NJ 07410-2175
Phone: (917) 374-3074
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 020582 New York
Behavioral Health & Social Service Providers / Mental Retardation & Developmental Disabilities 103TM1800X 020582 New York
Behavioral Health & Social Service Providers / Clinical 103TC0700X 35SI00543800 New Jersey

Profile Details

NPI number 1932337581
LBN Legal business name Bomzer, Philip
Credentials PSY.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 22nd, 2009
Last updated Oct 26th, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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