Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BRENDAN MC DADE TEDRICK, MS
Active Sole ProprietorBRENDAN MC DADE TEDRICK, MS is a Early Intervention Provider Agency healthcare provider located in ISLIP, New York. NPI 1548000417 is currently active in the NPPES registry. Verify at CMS.
Early Intervention Provider Agency · ISLIP, NY
Registration Details
- NPI Number
- 1548000417
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 29, 2024 (2.2578448269824 yrs)
- Last Updated
- May 29, 2024
- License
-
2867536 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
283 BROOKVILLE AVEISLIP, NY, 117511110Browse NY providers · Browse ZIP 11751
- Phone
- 5169910910
- Primary Specialty
-
Early Intervention Provider Agency
252Y00000X
Other Early Intervention Provider Agency Providers in ISLIP, NY
| Name | Credential | NPI |
|---|---|---|
| MRS. CHRISTINE JUNE MACMANUS | OTR/L | 1972812295 |
| MS. GINA M. LANG | M.A. | 1881010221 |
| MICHAEL JOHN D'ARIENZO | — | 1114374808 |
| TARA COLLETTI | MSSPED | 1427506104 |
| JESSICA ANN PIAZZA | — | 1376021089 |
| TAYLOR ANNE MACALUSO | — | 1154985513 |
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.