Individual
MRS. BRANDYN ELIZABETH PRAIRIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
111 COUNTY ROUTE 24, MALONE, NY 12953-3923
(518) 651-7476
Mailing address
111 COUNTY ROUTE 24, MALONE, NY 12953-3923
(518) 651-7476
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
NY
Other
Enumeration date
06/26/2025
Last updated
06/26/2025
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