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1497884167
DORI ILENE BRENNER
PATCHOGUE, NY
NPI
1497884167
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103TS0200X Psychologist, School
(Licence: NY 008877-1)
Enumeration Date
2007-03-05
Last Update Date
2007-07-08
Business Address
Dr. DORI ILENE BRENNER Psy.D.
436 W MAIN ST SECOND FLOOR
PATCHOGUE, NY 11772-3012
Phone number: 631-758-2170
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Mailing Address
Dr. DORI ILENE BRENNER Psy.D.
40 W 4TH ST APT 158
PATCHOGUE, NY 11772-2134
Phone number: 631-758-3420
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