Melanie Lynn Brodsky, L.C.S.W.
Social Worker, Clinical in Northport, NY. Individual provider (NPI-1).
NPI number1164538997
StatusActive
Last updated in NPPESApr 23, 2021
Details
- NPI
- 1164538997
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Melanie Lynn Brodsky
- Credential
- L.C.S.W.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 22, 2006
- Certification date
- Apr 23, 2021
- Last updated
- Apr 23, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 075519-1 | NY | Yes |
Practice location
79 Middleville RoadVa Medical Center Northport
Northport, NY 11768
Phone 631-261-4400
Mailing address
79 Middleville RoadVa Medical Center Northport
Northport, NY 11768
Phone 631-261-4400
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