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Individual

ALYSSA MARIANNA BRENNAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
353 VETERANS MEMORIAL HWY STE 101, COMMACK, NY 11725-4200
(631) 543-4888
Mailing address
14 HARNESS RD, SAINT JAMES, NY 11780-1600
(631) 521-3377

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
025626
NY

Other

Enumeration date
11/01/2020
Last updated
11/01/2020
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