Individual
BRANDON KURETSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
125 DEMOPOLIS AVE, STATEN ISLAND, NY 10308-1930
(191) 745-0093
(917) 450-0932
Mailing address
125 DEMOPOLIS AVE, STATEN ISLAND, NY 10308-1930
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
714408
NY
Other
Enumeration date
12/28/2016
Last updated
12/28/2016
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