Breona Petteway Support Services Incorporated

NPI #1194674622 in Wyandanch, New York

Provider Information

NPI Number
1194674622
Entity Type
Organization
Organization Name
Breona Petteway Support Services Incorporated
Primary Specialty
Licensed Practical Nurse
Enumeration Date
Jan 27, 2026
Last Updated
Jan 27, 2026

Practice Location

Address
18 LAKE DR
ZIP Code
11798-3430
Phone
(934) 256-2441

Authorized Official

Name
BREONA PETTEWAY
Title
LPN
Phone
(934) 256-2441

Specialties & Taxonomy Codes

Specialty
Licensed Practical Nurse

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