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Individual

MATTHEW L BRECKENRIDGE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
45 READE PL, POUGHKEEPSIE, NY 12601-3947
(845) 431-5629
Mailing address
68 S SERVICE RD, SUITE 350, MELVILLE, NY 11747-2354
(516) 945-3107

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
042-001-1861
VT
207L00000X
Anesthesiology Physician
Primary
269524
NY

Other

Enumeration date
04/04/2007
Last updated
09/09/2013
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