Individual
CIERA BRENNAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6080 JERICHO TPKE STE 200, COMMACK, NY 11725-2808
(631) 864-7770
Mailing address
31 E HUDSON ST APT 1, LONG BEACH, NY 11561-2147
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
10/08/2024
Last updated
10/08/2024
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