Provider Demographics
NPI:1881728228
Name:TONER, BRENDAN JOHN (DPT)
Entity type:Individual
Prefix:DR
First Name:BRENDAN
Middle Name:JOHN
Last Name:TONER
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:221 MCDONALD AVE
Mailing Address - Street 2:APT. 1M
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11218-1448
Mailing Address - Country:US
Mailing Address - Phone:917-748-9801
Mailing Address - Fax:212-765-4800
Practice Address - Street 1:1727 BROADWAY
Practice Address - Street 2:SUITE 2
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10019-5214
Practice Address - Country:US
Practice Address - Phone:212-765-4800
Practice Address - Fax:212-765-4855
Is Sole Proprietor?:No
Enumeration Date:2007-03-16
Last Update Date:2008-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY022320-12251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYQL591Q4301Medicare PIN
NYQL5911Medicare ID - Type UnspecifiedPROVIDER NUMBER