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Individual

BRANDON MUNNA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA

Contact information

Practice address
611 NORTHERN BLVD STE 200, GREAT NECK, NY 11021-5208
(516) 723-2663
Mailing address
7642 PARK LN S, WOODHAVEN, NY 11421-1030
(347) 425-5316

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
032555
NY

Other

Enumeration date
09/06/2024
Last updated
10/24/2025
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