James Edward Brantley Iii, LPN | |
5 Hob St, Newburgh, NY 12550-6608 | |
(845) 764-2614 | |
Not Available |
Full Name | James Edward Brantley Iii |
---|---|
Gender | Male |
Speciality | Licensed Practical Nurse |
Location | 5 Hob St, Newburgh, New York |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1003050758 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
164W00000X | Licensed Practical Nurse | 260304 (New York) | Primary |
Mailing Address | Practice Location Address |
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James Edward Brantley Iii, LPN 5 Hob St, Newburgh, NY 12550-6608 Ph: (845) 764-2614 | James Edward Brantley Iii, LPN 5 Hob St, Newburgh, NY 12550-6608 Ph: (845) 764-2614 |
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