Individual
BRENDAN WILLIAMS BACON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
130 BUSINESS PARK DR, ARMONK, NY 10504-1727
(914) 273-3413
(914) 273-3036
Mailing address
18 ALBION OVAL, MAHOPAC, NY 10541-3600
(845) 264-4953
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
046326
NY
Other
Enumeration date
10/21/2020
Last updated
10/21/2020
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