Individual
BRENDA HART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
75 S BROADWAY, WHITE PLAINS, NY 10601-4413
(914) 293-5001
Mailing address
17 PARK CIRCLE DR, MIDDLETOWN, NY 10940-2945
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
552312-1
NY
Other
Enumeration date
05/17/2021
Last updated
05/17/2021
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