Individual
BRENNDAN MICHAEL RAHE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
80 WEAVER DR APT 4B, MASSAPEQUA, NY 11758-5660
(914) 482-5829
Mailing address
80 WEAVER DR APT 4B, MASSAPEQUA, NY 11758-5660
(914) 482-5829
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
352761
NY
Other
Enumeration date
05/05/2025
Last updated
05/05/2025
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