Individual
BRANDON BRAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
106 1/2 GILLIS AVE, LIVERPOOL, NY 13088-6018
(315) 935-9381
Mailing address
106 1/2 GILLIS AVE, LIVERPOOL, NY 13088-6018
(315) 935-9381
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
338137-01
NY
Other
Enumeration date
02/01/2023
Last updated
02/01/2023
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