Individual
BRENDT MENDELBLATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
28 BARDONIA RD, BARDONIA, NY 10954-2123
(845) 623-1558
(845) 623-6437
Mailing address
28 BARDONIA RD, BARDONIA, NY 10954-2123
(845) 623-1558
(845) 623-6437
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
X0 012837
NY
Other
Enumeration date
05/18/2016
Last updated
05/18/2016
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