Individual
BRENNA LELA FORBES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
485 CLAYTON STREET, CENTRAL ISLIP, NY 11722-3003
(631) 233-9633
Mailing address
485 CLAYTON STREET, CENTRAL ISLIP, NY 11722-3003
(631) 233-9633
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
347294-01
NY
Other
Enumeration date
09/30/2025
Last updated
09/30/2025
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