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General NPI Number Information
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NPI Number | 1992686000
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Entity Type | Individual
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Provider Name | YOSEF BRODY PHD
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Gender | Male
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Dates
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Enumeration Date | 09/08/2025
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Last Update Date | 09/08/2025
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Provider Practice Location Address
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Address Line | 109 N 12TH ST STE 704
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City | BROOKLYN
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State | NY
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Zip | 11249-1002
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Country | US
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Telephone | 917-626-7571
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Fax |
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Provider Business Mailing Address
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Address Line | 110 GREEN ST
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City | BROOKLYN
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State | NY
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Zip | 11222-1591
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Country | US
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Telephone | 917-626-7571
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 014995
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License Number State |
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