Jesse Brand

NPI #1013360361 in Shirley, New York

Provider Information

NPI Number: 1013360361
Entity Type: Individual
Name: Jesse Brand
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Residential Treatment Facility, Emotionally Disturbed Children
Enumeration Date: Jul 21, 2016
Last Updated: Jul 21, 2016

Practice Location

Address: 60 FORREST AVE
City: Shirley
State: New York
ZIP Code: 11967-1955
Phone: (631) 707-0190

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Residential Treatment Facility, Emotionally Disturbed Children	322D00000X	Primary

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