Individual
HENRY BREW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3 NEWLAND ST, OTEGO, NY 13825-2135
(347) 982-5937
Mailing address
3 NEWLAND ST, OTEGO, NY 13825-2135
Taxonomy
Speciality
Code
Description
License number
State
227900000X
Registered Respiratory Therapist
Primary
—
—
Other
Enumeration date
06/18/2015
Last updated
06/18/2015
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