Bryson-Brockmann, William A.
Bryson-Brockmann, William A. is an individual health care provider with primary practice located at 222 Station Plz N Suite 611, Mineola NY 11501-3808. He recently has 5 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Cognitive & Behavioral, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Clinical Child & Adolescent, Behavioral Health & Social Service Providers / Mental Retardation & Developmental Disabilities. Behavioral Health & Social Service Providers / Psychologist is his primary health care specialty. Bryson-Brockmann, William A. can be contacted via phone (516) 663-4432.Contact Information
Primary practice address
222 Station Plz N Suite 611
Mineola NY 11501-3808
Phone: (516) 663-4432
Fax: (516) 663-4409
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 009669 | New York |
Behavioral Health & Social Service Providers / Cognitive & Behavioral | 103TB0200X | 009669 | New York |
Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 009669 | New York |
Behavioral Health & Social Service Providers / Clinical Child & Adolescent | 103TC2200X | 009669 | New York |
Behavioral Health & Social Service Providers / Mental Retardation & Developmental Disabilities | 103TM1800X | 009669 | New York |
Profile Details
NPI number | 1730251968 |
---|---|
LBN Legal business name | Bryson-Brockmann, William A. |
Credentials | PH.D. |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Nov 14th, 2006 |
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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1730251968 | NPPES |
New York | Other | 0049693 | GHI PPO |
New York | Other | 118426 | GHI PPO |
New York | Other | VA2061 | GHI PPO |
New York | Other | AS1545 | GHI PPO |
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