Individual
BRENDA TERAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8344 LEFFERTS BLVD, APT 3N, KEW GARDENS, NY 11415-2566
(347) 465-1721
Mailing address
8344 LEFFERTS BLVD, APT 3N, KEW GARDENS, NY 11415-2566
(347) 465-1721
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
NY
Other
Enumeration date
05/31/2016
Last updated
05/31/2016
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