Individual
DWAYNE BREINING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
900 FRANKLIN AVE, VALLEY STREAM, NY 11580-2145
(800) 376-5566
Mailing address
PO BOX 33352, HARTFORD, CT 06150-3352
(800) 376-5566
Taxonomy
Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
Primary
201286
NY
Other
Enumeration date
09/26/2006
Last updated
11/09/2009
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