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NPI Code Detail

MEDICARE: DR. BELLA DORMAN PSY.D

MEDICARE:  DR. BELLA  DORMAN  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
1103T00000XPsychologist016309NY

General Provider Information

NPI Number : 1326043498
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. BELLA DORMAN PSY.D
Provider Business Mailing Address
First Line : 62 WHITMAN DR
Second Line :
City : BROOKLYN
State : NY
Zip : 11234-6703
Country : US
Telephone Number : 917-704-8148
Fax Number :
Provider Business Practice Location Address
First Line : 62 WHITMAN DR
Second Line :
City : BROOKLYN
State : NY
Zip : 11234-6703
Country : US
Telephone Number : 917-704-8148
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/16/2005
Last Update Date : 12/11/2019

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Directions to “ DR. BELLA DORMAN PSY.D” Practice Location

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