Individual
JOHN T BREUER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
100 N OCEAN AVE, PATCHOGUE, NY 11772-2004
(631) 289-1919
Mailing address
106 E BROADWAY, PORT JEFFERSON, NY 11777-1245
(631) 553-5267
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
041529
NY
Other
Enumeration date
01/12/2009
Last updated
01/12/2009
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