Individual
ANNA BRENNAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5645 MAIN ST, FLUSHING, NY 11355-5045
(718) 670-2000
Mailing address
43 W BROADWAY, PORT JEFFERSON STATION, NY 11776-3818
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
032067
NY
Other
Enumeration date
06/17/2024
Last updated
10/22/2024
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