Individual
ANITA BRANCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
998 CROOKED HILL ROAD, BUILDING 69, BRENTWOOD, NY 11717-4625
(631) 761-4180
(631) 761-4184
Mailing address
998 CROKKED HILL ROAD, BUILDING 69, BRENTWOOD, NY 11717-4625
(631) 761-4190
(631) 761-4184
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
NY
Other
Enumeration date
01/09/2007
Last updated
04/08/2014
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