Most Relevant Information
Provider Data
| NPI Number: | 1003235714 |
| Provider Name: | BRACHA BERSSON LMSW |
| Entity Type: | Individual |
| Taxonomy Code: | 104100000X |
| Specialty: | Social Worker |
| License Number: | 091460-1 |
Most Important Dates
| Enumeration Date: | 04/09/2014 |
| Last Updated: | 04/09/2014 |
Provider Practice Location
1158 45TH ST
BROOKLYN
NY
112192059
Practice Location Phone/Fax
| Phone: | 8455701082 |
| Fax: |
Provider Mailing Location
1334 CAFFREY AVE APT 1F
FAR ROCKAWAY
NY
116915173
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |