NPI 1003687914
Breanna Marie Economos
Practice location
- Address
- 2290 9th Ave, Ronkonkoma, NY 11779-6277
- Phone
- (631) 708-6257
Registered specialties
Marriage & Family Therapist
Primary
Registry record
- NPI
- 1003687914
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 10 Jan 2024
- Record last updated
- 10 Jan 2024
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.