Individual
MR. JOSEPH GERALD BRANDT SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
281 PORT RICHMOND AVE, STATEN ISLAND, NY 10302-1707
(718) 442-6006
Mailing address
10 ORCHARD AVE, STATEN ISLAND, NY 10307-1319
(718) 209-4032
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
000352-1
NY
Other
Enumeration date
03/29/2007
Last updated
07/08/2007
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