Individual
MR. MATTHEW STEPHEN BREMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
300 COMMUNITY DR, MANHASSET, NY 11030-3816
(516) 562-4970
Mailing address
77 ORIOLE RD, LEVITTOWN, NY 11756-5021
(516) 220-5938
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
011097
NY
Other
Enumeration date
03/23/2007
Last updated
07/08/2007
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