Individual
BROOKE ANN HALLORAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
168 HILL ST, SOUTHAMPTON, NY 11968-5337
(631) 283-3272
Mailing address
807 VILLAGE DR APT B, RIDGE, NY 11961-8279
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
08/01/2019
Last updated
08/01/2019
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