Individual
BREANNA TAHANY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1783 ROUTE 9 STE 204, HALFMOON, NY 12065-2466
(518) 371-9355
Mailing address
123 EVERETT RD, LATHAM, NY 12110-2461
(518) 701-2085
(518) 701-2020
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
030364
NY
Other
Enumeration date
08/30/2023
Last updated
03/19/2025
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