Individual
MR. BRANDON ALFRED
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
889 GRAND TERRACE AVE, NORTH BALDWIN, NY 11510-1424
(347) 400-4163
Mailing address
528 MERRICK RD # 1053, ROCKVILLE CENTRE, NY 11570-5445
(347) 400-4163
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
016484
NY
Other
Enumeration date
07/25/2025
Last updated
07/25/2025
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