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1619170891
JERRY BUBRICK
NEW YORK, NY
NPI
1619170891
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
103TC2200X Psychologist, Clinical Child & Adolescent
(Licence: NY 015091)
Enumeration Date
2007-06-06
Last Update Date
2007-07-08
Business Address
-- JERRY BUBRICK PhD
577 1ST AVE
NEW YORK, NY 10016-6404
Phone number: 212-263-6567
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Mailing Address
-- JERRY BUBRICK PhD
577 1ST AVE
NEW YORK, NY 10016-6404
Phone number: 212-263-6567
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