Brockner, Audrey Jacobs

Brockner, Audrey Jacobs is an sole proprietor health care provider with primary practice located at 420 Beechmont Dr , New Rochelle NY 10804-4613. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Brockner, Audrey Jacobs can be contacted via phone (914) 235-5646.

Contact Information

Primary practice address
420 Beechmont Dr New Rochelle NY 10804-4613
Fax: (914) 235-7852
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X PR031433-1 New York

Profile Details

NPI number 1053435446
LBN Legal business name Brockner, Audrey Jacobs
Credentials MSW, LCSW, BCD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 19th, 2007
Last updated Jul 8th, 2007 - about 17 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.

Request for update

Popular Providers