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Individual

CHRISTINE BRENNAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MSED

Contact information

Practice address
76 SLATE LN, LEVITTOWN, NY 11756-3938
(516) 384-3303
Mailing address
76 SLATE LN, LEVITTOWN, NY 11756-3938
(516) 384-3303

Taxonomy

Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
NY

Other

Enumeration date
06/11/2012
Last updated
06/11/2012
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