Individual
MR. BRENDAN ROYSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5601 16TH AVE # 5, BROOKLYN, NY 11204-1809
(718) 853-1884
Mailing address
5601 16TH AVE # 5, BROOKLYN, NY 11204-1809
(718) 853-1884
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
025686-1
NY
Other
Enumeration date
12/11/2016
Last updated
12/11/2016
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