Individual
BRANDY EDDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1680 WALDEN AVE, CHEEKTOWAGA, NY 14225-4914
(716) 894-7777
(716) 894-0604
Mailing address
1730 28 CREEK ROAD, FALCONER, NY 14733
(716) 287-2625
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
296457
NY
Other
Enumeration date
04/09/2009
Last updated
04/09/2009
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