Individual
BRENDAN JOHN BURNS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
998 CROOKED HILL RD, WEST BRENTWOOD, NY 11717-1019
(631) 761-3500
Mailing address
46 3RD ST, RONKONKOMA, NY 11779-5368
(631) 721-3433
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
799888
NY
Other
Enumeration date
04/12/2021
Last updated
04/12/2021
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