Individual
BRENDA MARISSA CABRERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
301 E MAIN ST, BAY SHORE, NY 11706-8408
(631) 968-3000
Mailing address
52 TROUT BROOK LN, RIVERHEAD, NY 11901-5073
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
588512
NY
Other
Enumeration date
06/12/2019
Last updated
12/23/2021
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