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Individual

MRS. TATUM J. BROGAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MS, R-DMT, LCAT

Contact information

Practice address
300 GARDEN CITY PLZ, SUITE 304, GARDEN CITY, NY 11530-3302
(516) 366-1480
(516) 414-2544
Mailing address
300 GARDEN CITY PLZ, SUITE 304, GARDEN CITY, NY 11530-3302
(516) 366-1480
(516) 414-2544

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
001505
NY

Other

Enumeration date
08/09/2016
Last updated
08/09/2016
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