Whalio Doctors

NPI 1508249434

Nicholas Dean Brunner, LCAT

Practitioner Drama Therapist Astoria, NY

Practice location

Address
4502 Ditmars Blvd STE 1032, Astoria, NY 11105-1363
Phone
(718) 777-6398

Registered specialties

Drama Therapist Primary
Behavioral Health & Social Service Providers Taxonomy 101200000X Licence 002096 (NY)

Registry record

NPI
1508249434
Entity type
Individual
Sex (as registered)
Male
NPI issued
9 Jul 2015
Record last updated
21 Jun 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.