Individual
BRANDON KIROY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
1976 ST RT 22B, MORRISONVILLE, NY 12962-3625
(518) 420-5247
Mailing address
PO BOX 71, MORRISONVILLE, NY 12962-0071
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
338830
NY
Other
Enumeration date
11/16/2020
Last updated
11/16/2020
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