Individual
BREIGHANNE WYLONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2084 STATE ROUTE 208, MONTGOMERY, NY 12549-2611
(845) 769-9203
Mailing address
2084 STATE ROUTE 208, MONTGOMERY, NY 12549-2611
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
074128
NY
Other
Enumeration date
07/14/2026
Last updated
07/14/2026
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