Tedrick, Brendan Mc Dade

Tedrick, Brendan Mc Dade is an sole proprietor health care provider with primary practice located at 283 Brookville Ave , Islip NY 11751-1110. He recently has only one registered license in Agencies / Early Intervention Provider Agency, which is considered as his primary health care specialty. Tedrick, Brendan Mc Dade can be contacted via phone (516) 991-0910.

Contact Information

Primary practice address
283 Brookville Ave Islip NY 11751-1110
Phone: (516) 991-0910
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Agencies / Early Intervention Provider Agency 252Y00000X 2867536 New York

Profile Details

NPI number 1548000417
LBN Legal business name Tedrick, Brendan Mc Dade
Credentials MS
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 29th, 2024
Last updated May 29th, 2024 - about 4 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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