MEDICARE: DR. SHARA MARRERO BROFMAN PSY.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103TC0700X	Clinical Psychologist	020619	NY

General Provider Information

NPI Number	:	1528472966
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SHARA MARRERO BROFMAN PSY.D.

Provider Business Mailing Address
First Line	:	2 EAST AVE STE 209
Second Line	:
City	:	LARCHMONT
State	:	NY
Zip	:	10538-2419
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2 EAST AVE STE 209
Second Line	:
City	:	LARCHMONT
State	:	NY
Zip	:	10538-2419
Country	:	US
Telephone Number	:	646-450-4831
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/13/2014
Last Update Date	:	01/10/2026

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