Individual
MR. BRENDAN ALBERT MCKIERNAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
441 BEACH 141ST ST, ROCKAWAY PARK, NY 11694-1246
(718) 634-5908
Mailing address
441 BEACH 141ST ST, ROCKAWAY PARK, NY 11694-1246
(718) 634-5908
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
011129
NY
Other
Enumeration date
03/14/2007
Last updated
07/08/2007
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