Individual
BRENDAN LEE PARKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
467 DELAWARE AVE, DELMAR, NY 12054
(518) 641-0958
Mailing address
20 PEACHTREE CT STE 105, HOLBROOK, NY 11741-4616
(631) 467-3700
(631) 467-0928
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
044897-01
NY
Other
Enumeration date
10/14/2019
Last updated
10/28/2019
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