Individual
MR. TODD BRANDON MUECKENHEIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
105 JERICHO TPKE, MINEOLA, NY 11501-1821
(203) 807-4460
Mailing address
417 E MAIN ST APT X1, BAY SHORE, NY 11706-8530
(203) 807-4460
Taxonomy
Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
Primary
—
—
Other
Enumeration date
10/31/2024
Last updated
11/14/2024
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