Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JESSE BRAND
Active Sole ProprietorResidential Treatment, Emotionally Disturbed Children · SHIRLEY, NY
Registration Details
- NPI Number
- 1013360361
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 21, 2016 (9.7533194249119 yrs)
- Last Updated
- Jul 21, 2016
- Sole Proprietor
- Yes
Practice Information
- Address
-
60 FORREST AVESHIRLEY, NY, 119671955Browse NY providers · Browse ZIP 11967
- Phone
- 6317070190
- Primary Specialty
-
Residential Treatment, Emotionally Disturbed Children
322D00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.