Provider Demographics
NPI:1598005613
Name:BROWNFELD, ADAM (PHD)
Entity Type:Individual
Prefix:
First Name:ADAM
Middle Name:
Last Name:BROWNFELD
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3935 BLACKSTONE AVE
Mailing Address - Street 2:APT 6A
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10471-3715
Mailing Address - Country:US
Mailing Address - Phone:917-902-0648
Mailing Address - Fax:
Practice Address - Street 1:3935 BLACKSTONE AVE
Practice Address - Street 2:APT 6A
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10471-3715
Practice Address - Country:US
Practice Address - Phone:917-902-0648
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-02-26
Last Update Date:2013-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY019981103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical