Individual
BRENNA FALKOWSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
99 WYANDANCH BLVD, SMITHTOWN, NY 11787-4293
(516) 807-0878
Mailing address
99 WYANDANCH BLVD, SMITHTOWN, NY 11787-4293
(516) 807-0878
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
790303
NY
Other
Enumeration date
08/31/2022
Last updated
08/31/2022
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