Individual
MR. CRAIG IVAN BRENNAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1444 5TH AVE, BAY SHORE, NY 11706-4147
(631) 647-2048
Mailing address
1444 5TH AVE, BAY SHORE, NY 11706-4147
(631) 647-2048
(631) 647-2057
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
02/10/2022
Last updated
02/10/2022
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