Individual
COLLEEN A BRENNAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
49 NEW YORK AVE, MASSAPEQUA, NY 11758-4820
(516) 797-0790
Mailing address
49 NEW YORK AVE, MASSAPEQUA, NY 11758-4820
(516) 797-0790
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
478792-1
NY
Other
Enumeration date
05/27/2008
Last updated
05/27/2008
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