Individual
BRENDA MARIE HEARY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
625 DELAWARE AVE STE 150, BUFFALO, NY 14202-1000
(716) 884-1001
(716) 884-1827
Mailing address
70 CAREFREE LN, BUFFALO, NY 14227-2223
(716) 602-8330
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
235291-1
NY
Other
Enumeration date
04/12/2018
Last updated
04/12/2018
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