Individual
BRANDY R MORROW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1201 VILLAGE DR APT B, RIDGE, NY 11961-8307
(631) 504-8989
Mailing address
1201 VILLAGE DR APT B, RIDGE, NY 11961-8307
(631) 504-8989
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
294978
NY
Other
Enumeration date
11/07/2008
Last updated
09/14/2009
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