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Debra J Brodsky

Social Worker

Behavioral Health & Social Service Providers

39 Yennicock Ave # 1, Port Washington, NY 11050-2130

PECOS Enrollment

This provider is enrolled in PECOS as DEBRA BRODSKY.

Based on the most recent information from CMS, provider Debra J Brodsky is legally eligible to order and refer claims for Part B and DME services only.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1053801076
Provider Type
Individual
Full Name
Brodsky, Debra J
Credential
LCSW

Gender
Female
Sole Proprietor
Yes
Enumeration Date
5/15/2018
Last Updated
7/27/2020

Contact Information

Practice Location

39 Yennicock Ave # 1, Port Washington, NY 11050-2130

(908) 510-7297

Unlisted Fax

Mailing Location

1051 Port Washington Blvd Unit 11, Port Washington, NY 11050-0106

(908) 510-7297

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 1041C0700X Primary	Description Social Worker Behavioral Health & Social Service Providers	License 084863 New York
Code 1041C0700X	Description Social Worker Behavioral Health & Social Service Providers	License Unlisted Issuer

Debra J Brodsky

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Witkow, Cindy

Rinke, Nomi

Bagnini, Carl

Chau, Tak Wai

Dinner, Lynne

Frischling, Elisa

Ades, Jane L

Satloff, Ellen J

Bruh, Daniel

Salmon, Joan