Individual
BREANNE KATHLEEN BREISMEISTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
150 55TH ST, BROOKLYN, NY 11220-2508
(718) 630-7425
(718) 630-7604
Mailing address
5600 THIRD AVENUE, BROOKLYN, NY 11220
(718) 630-6180
(718) 630-7437
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
035396
NY
Other
Enumeration date
08/31/2012
Last updated
08/31/2012
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