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General NPI Number Information
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NPI Number | 1265510242
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Entity Type | Individual
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Provider Name | MICHAEL ADAM BRUSTEIN PSY.D
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Gender | Male
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Dates
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Enumeration Date | 11/01/2006
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Last Update Date | 02/15/2026
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Provider Practice Location Address
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Address Line | 70 E 10TH ST APT 9W
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City | NEW YORK
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State | NY
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Zip | 10003-5112
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Country | US
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Telephone | 917-847-4217
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Fax |
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Provider Business Mailing Address
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Address Line | 70 E 10TH ST
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City | NEW YORK
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State | NY
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Zip | 10003-5102
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Country | US
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Telephone | 917-847-4217
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 016681
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License Number State | NY
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