Bromberg, Leslie
Bromberg, Leslie is an sole proprietor health care provider with primary practice located at 5 Station Ct Ste 5 , Bellport NY 11713-2453. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Bromberg, Leslie can be contacted via phone (631) 835-9594.Contact Information
Primary practice address
5 Station Ct Ste 5
Bellport NY 11713-2453
Phone: (631) 835-9594
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 079294 | New York |
Profile Details
| NPI number | 1770734493 |
|---|---|
| LBN Legal business name | Bromberg, Leslie |
| Credentials | LCSW-R |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 1st, 2008 |
| Last updated | Nov 17th, 2015 - about 9 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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