Individual
CHRISTINA BRENNAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
601B W. WASHINTON ST, GENEVA, NY 14456
(315) 781-8448
(315) 781-8444
Mailing address
14 MAIDEN LN, PENN YAN, NY 14527-1208
(315) 531-9102
(315) 531-9103
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
272611
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
272611
LICENSE
NY
Enumeration date
09/23/2016
Last updated
09/23/2016
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