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Individual

BRENDAN P. ROONEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CO

Contact information

Practice address
243 MAIN ST, SUITE 260, NEW PALTZ, NY 12561-1350
(845) 255-2929
(845) 255-7405
Mailing address
243 MAIN ST, SUITE 260, NEW PALTZ, NY 12561-1350
(845) 255-2929
(845) 255-7405

Taxonomy

Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02119666
NY
Enumeration date
11/21/2006
Last updated
03/30/2009
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