Individual
BRENO LERER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
34 HEMPSTEAD TPKE, SOUTH FARMINGDALE, NY 11735-2034
(516) 755-5855
Mailing address
926 9TH ST # 11704, WEST BABYLON, NY 11704-3807
(631) 793-0450
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
032557-01
NY
Other
Enumeration date
05/16/2022
Last updated
05/16/2022
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