Individual
BRENDA E CERVINI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
HAD
Contact information
Practice address
1760 EMPIRE BLVD, WEBSTER, NY 14580-2179
(585) 787-1385
(585) 787-1385
Mailing address
115 ROUTE 46 STE G51, MOUNTAIN LAKES, NJ 07046-1676
(973) 588-7266
(973) 588-7268
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14000039997
HAD LICENSE
NY
Enumeration date
07/13/2018
Last updated
07/13/2018
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