Individual
MS. BRIANNE CHRISTINA TASE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSED
Contact information
Practice address
1075 PORTION RD, FARMINGVILLE, NY 11738-4205
(631) 320-1599
Mailing address
215 TERRY RD APT 10A, SMITHTOWN, NY 11787-5112
(631) 834-8641
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
NY
Other
Enumeration date
05/08/2024
Last updated
05/08/2024
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