Individual
DR. BRIAN T MCNEARY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5718 WOODSIDE AVE, 203, WOODSIDE, NY 11377-3444
(718) 898-9494
(718) 898-5023
Mailing address
5718 WOODSIDE AVE, 203, WOODSIDE, NY 11377-3444
(718) 898-9494
(718) 898-5023
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
174080
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01376934
—
NY
Enumeration date
08/31/2006
Last updated
07/09/2007
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