Individual
SHAREN BRANCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1191 ROUTE 9W, SUITE C2 & C3, MARLBORO, NY 12542-5421
(845) 236-7838
(877) 254-0888
Mailing address
1191 ROUTE 9W, SUITE C2 & C3, MARLBORO, NY 12542-5421
(845) 236-7838
(877) 254-0888
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
NY
Other
Enumeration date
02/20/2009
Last updated
02/20/2009
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