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Individual

DAMON THOMAS BRECHEISEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
BC-HIS

Contact information

Practice address
6 BONIFACE DR, PINE BUSH, NY 12566-7050
(845) 567-2480
Mailing address
6 BONIFACE DR, PINE BUSH, NY 12566-7050
(845) 567-2480

Taxonomy

Speciality
Code
Description
License number
State
237600000X
Audiologist-Hearing Aid Fitter
15000012029
NY
237700000X
Hearing Instrument Specialist
Primary
14000014162
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02700250
NY
Enumeration date
05/25/2007
Last updated
03/07/2022
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