Individual
BRANDI POENICKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
M. CLIFFORD MILLER MIDDLE SCHOOL, 65 FORDING PLACE ROAD, 8459012986, NY 12449
(845) 901-2986
Mailing address
M. CLIFFORD MILLER MIDDLE SCHOOL, 65 FORDING PLACE ROAD, 8459012986, NY 12449
(845) 901-2986
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
645180
NY
Other
Enumeration date
04/04/2025
Last updated
04/04/2025
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