Brenner, Dori Ilene

Brenner, Dori Ilene is an sole proprietor health care provider with primary practice located at 436 W Main St Second Floor, Patchogue NY 11772-3012. She recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as her primary health care specialty. Brenner, Dori Ilene can be contacted via phone (631) 758-2170.

Contact Information

Primary practice address
436 W Main St Second Floor Patchogue NY 11772-3012
Phone: (631) 758-2170
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 103TS0200X 008877-1 New York

Profile Details

NPI number 1497884167
LBN Legal business name Brenner, Dori Ilene
Credentials PSY.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 5th, 2007
Last updated Jul 8th, 2007 - about 18 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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