Individual
BRANDON JAMES VENEZIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
10 HASTINGS DR, BEACON, NY 12508-2055
(845) 440-1600
Mailing address
8 SAINT JOSEPH PL, NEW WINDSOR, NY 12553-7555
(646) 287-9970
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
013220-01
NY
Other
Enumeration date
04/11/2022
Last updated
04/12/2022
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