Individual
BRENDAN MEADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
317 ROSE LN, SMITHTOWN, NY 11787-4419
(631) 553-9365
(631) 956-9150
Mailing address
317 ROSE LN, SMITHTOWN, NY 11787-4419
(631) 553-9365
(631) 956-9150
Taxonomy
Speciality
Code
Description
License number
State
246Z00000X
Other Specialist/Technologist
Primary
—
—
Other
Enumeration date
04/01/2019
Last updated
04/01/2019
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