| Mr Joseph J Brennan, DNP, MBA | |
|
204 County Road 39, Afton, NY 13730-2252 | |
| (607) 208-4284 | |
| (607) 900-3336 |
| Full Name | Mr Joseph J Brennan |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner - Adult Health |
| Location | 204 County Road 39, Afton, New York |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790328300 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LA2200X | Nurse Practitioner - Adult Health | 309695 (New York) | Primary |
| 363LA2100X | Nurse Practitioner - Acute Care | 433357 (New York) | Secondary |
| Entity Name | Tri County Family Health And Adult Health Np Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053089516 PECOS PAC ID: 7315344769 Enrollment ID: O20220111001184 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Joseph J Brennan, DNP, MBA 204 County Road 39, Afton, NY 13730-2252 Ph: (607) 208-4284 | Mr Joseph J Brennan, DNP, MBA 204 County Road 39, Afton, NY 13730-2252 Ph: (607) 208-4284 |
Ms. Carol D. Nightengale, F.N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 29 Academy Street, Afton School, Afton, NY 13730 Phone: 607-639-8224 Fax: 607-639-8257 | |
David Gordon Hochman, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 204 County Road 39, Afton, NY 13730 Phone: 607-621-3826 |