Individual
CASSIDY BRENNAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6214 RIVERDALE AVE APT 1A, BRONX, NY 10471-1032
(718) 701-4807
Mailing address
72 RALPH AVE, BABYLON, NY 11702-2118
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
07/02/2021
Last updated
07/02/2021
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