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Mr. Brandon Martin Spahn, PT
Specialist in Lindenhurst, New York
NPI 1922142694

Brandon Martin Spahn is a Specialist based in Lindenhurst, NY. Brandon Martin Spahn practices in Lindenhurst, NY and has the professional credentials of PT. The NPI Number for Brandon Martin Spahn is 1922142694 and holds a License No. 029010-1 (New York).

The current practice location address for Brandon Martin Spahn is 155 W Sunrise Hwy, Lindenhurst, NY and can be reached out via phone at 631-991-3311.

Location: 155 W Sunrise Hwy, Lindenhurst, NY, 11757-2434
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1922142694
Provider Name
Brandon Martin Spahn
Credential
PT
Provider Entity Type
Individual
Gender
Male
Address
155 W Sunrise Hwy, Lindenhurst, NY, 11757-2434
Phone Number
631-991-3311
Fax Number
Provider Enumeration Date
02/16/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0196271 01 NY GHI
029010 01 NY VYTRA
029010 01 NY HEALTHCARE PARTHNERS
080723000135 01 NY FIDELIS
11817975 01 NY CAQH
029010 01 NY HIP
institution
Provider Business Practice Location Address Details
Address
155 W Sunrise Hwy
City
Lindenhurst
State
New York
Zip
11757-2435
Phone Number
631-991-3311
Fax Number
person
Provider Business Mailing Address Details
Address
155 W Sunrise Hwy
City
Lindenhurst
State
New York
Zip
11757-2435
Phone Number
631-991-3311
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
029010-1 (New York)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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