Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BREONA PETTEWAY SUPPORT SERVICES INCORPORATED
Active OrganizationBREONA PETTEWAY SUPPORT SERVICES INCORPORATED is a Licensed Practical Nurse organization located in WYANDANCH, New York. NPI 1194674622 is currently active in the NPPES registry. Verify at CMS.
Licensed Practical Nurse · WYANDANCH, NY
Registration Details
- NPI Number
- 1194674622
- Provider Type
- Organization
- NPI Issued
- Jan 27, 2026 (0.40230048625358 yrs)
- Last Updated
- Jan 27, 2026
Practice Information
- Address
-
18 LAKE DRWYANDANCH, NY, 117983430Browse NY providers · Browse ZIP 11798
- Phone
- 9342562441
- Fax
- 9342562441
- Primary Specialty
-
Licensed Practical Nurse
164W00000X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.