SearchNew York101YM0800X

Jon Brennan, R-LCSW

NPI 1659863868 · on the registry since 2018 · sole proprietor

Practice

Address
408 Montauk Hwy
Center Moriches, NY 11934
Phone
(631) 874-0185
Fax
(631) 909-8940
Clinicians at this address
3

Additional practice sites

  • 900 Walt Whitman Rd, Melville, NY

Registry record

Primary taxonomy
101YM0800X
101YM0800X
Also registered as
103TM1800X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2020-01-09

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York