Ciera Brennan
Individual provider Active NPI Contractor · Commack, NY
NPI 1508685306 · NPPES record last updated Oct 8, 2024
Key facts
- NPI
- 1508685306
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Contractor 171W00000X
- Practice address
- 6080 Jericho Tpke Ste 200
Commack, NY 11725-2808 - Phone
- (631) 864-7770
- NPI assigned
- Oct 8, 2024
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Access 7 Services Inc. | Past |
Accepting new patients | |
| Access 7 Consulting | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Contractor | 171W00000X | Yes |
Addresses
Primary practice location
6080 Jericho Tpke Ste 200
Commack, NY 11725-2808
Mailing address
31 E Hudson St Apt 1
Long Beach, NY 11561-2147
Other providers in Commack, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 8, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.