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1235738188
BRENDAN WILLIAMS BACON
ARMONK, NY
NPI
1235738188
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: NY 046326)
Enumeration Date
2020-10-21
Last Update Date
2020-10-21
Business Address
BRENDAN WILLIAMS BACON PT, DPT
130 BUSINESS PARK DR
ARMONK, NY 10504-1727
Phone number: 914-273-3413
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Mailing Address
BRENDAN WILLIAMS BACON PT, DPT
18 ALBION OVAL
MAHOPAC, NY 10541-3600
Phone number: 845-264-4953
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