Individual
BRENDON STANKARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPA-C
Contact information
Practice address
1745 UNION BLOUEVARD, BAYSHORE, NY 11706-7952
(631) 328-5560
Mailing address
1745 UNION BLVD, BAY SHORE, NY 11706-7952
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
014626
NY
Other
Enumeration date
03/30/2011
Last updated
03/30/2011
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