Individual
MR. BRENDAN ANTHONY BERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPA-C
Contact information
Practice address
24428 85TH AVE, BELLEROSE, NY 11426-1616
(718) 343-8694
Mailing address
24428 85TH AVE, BELLEROSE, NY 11426-1616
(718) 343-8694
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
014695-1
NY
Other
Enumeration date
05/02/2011
Last updated
05/02/2011
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