National Provider Identifier

Thomas K Brennan

Thomas K Brennan is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Geneva, NY and a listed phone number of (315) 781-0863.

NPI 1164780631Geneva, NYLicensed Practical Nurse

Profile Overview

NPI
1164780631
Provider Type
Individual
Primary Specialty
Licensed Practical Nurse
Enumeration Date
May 02, 2012
Last Updated
May 02, 2012

Practice Location

  • 590 Pre Emption RD
  • Geneva, NY 14456-1372

Phone: (315) 781-0863

Specialties

  • Licensed Practical Nurse (164W00000X)
Full Record
NPI
1164780631
Entity Type
Individual
Last Name
Brennan
First Name
Thomas
Middle Name
K
Mailing Street Address
590 Pre Emption RD
Mailing City
Geneva
Mailing State
NY
Mailing ZIP Code
14456-1372
Mailing Country
US
Mailing Phone
(315) 781-0863
Mailing Fax
(315) 781-5447
Practice Street Address
590 Pre Emption RD
Practice City
Geneva
Practice State
NY
Practice ZIP Code
14456-1372
Practice Country
US
Practice Phone
(315) 781-0863
Practice Fax
(315) 781-5447
Enumeration Date
May 02, 2012
Last Updated
May 02, 2012
Sex
Male
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Licensed Practical Nurse (164W00000X)