Individual
BRIANNA BRUSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
33-57 HARRISON ST, JOHNSON CITY, NY 13790-2107
(607) 763-6033
Mailing address
33-57 HARRISON ST, JOHNSON CITY, NY 13790-2107
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
028616-1
NY
Other
Enumeration date
11/14/2019
Last updated
11/14/2019
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