Basic Information
Provider Information
NPI: 1881728228
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: TONER
FirstName: BRENDAN
MiddleName: JOHN
NamePrefix: DR.
NameSuffix:  
Credential: D.P.T.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
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OtherCredential:  
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Mailing Information
Address1: 221 MCDONALD AVE
Address2: APT. 1M
City: BROOKLYN
State: NY
PostalCode: 112181448
CountryCode: US
TelephoneNumber: 9177489801
FaxNumber: 2127654800
Practice Location
Address1: 1727 BROADWAY
Address2: SUITE 2
City: NEW YORK
State: NY
PostalCode: 100195214
CountryCode: US
TelephoneNumber: 2127654800
FaxNumber: 2127654855
Other Information
ProviderEnumerationDate: 03/16/2007
LastUpdateDate: 03/21/2008
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
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AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
2251X0800X022320-1NYY Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic

No ID Information.


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