THEODORE BRAND

LOWVILLE, NY
NPI1962425256
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: NY  273665)
Enumeration Date2006-07-26
Last Update Date2011-10-29
Business Address
-- THEODORE BRAND CRNA
7785 N STATE ST
LOWVILLE, NY 13367-1229
Phone number: 315-376-5475
Mailing Address
-- THEODORE BRAND CRNA
PO BOX 2337
SYRACUSE, NY 13220-2337
Phone number: 315-422-2933
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