Individual
MARY BRICKERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
250 MONTAUK HWY, EAST MORICHES, NY 11940-1141
(631) 400-9612
(631) 400-9613
Mailing address
250 MONTAUK HWY, EAST MORICHES, NY 11940-1141
(631) 400-9612
(631) 400-9613
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
03/26/2019
Last updated
03/26/2019
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