Breona Petteway Support Services Incorporated
Specialty details in registry · Wyandanch, NY
At a glance
18 Lake Dr, Wyandanch, NY 11798-3430
NPPES record updated Jan 27, 2026. Public records can lag behind changes at a practice.
Before you call: a quick checklist
- Are you accepting new patients?
- Do you accept my specific insurance plan?
- Do you provide the service I need at this address?
- Do I need a referral, and what is the earliest appointment?
Insurance participation and appointment availability are not established by these public records.
Practice location
18 Lake DrWyandanch, NY 11798-3430
Professional details: NPI, taxonomy & registry record
Registry details
- Primary taxonomy
- Specialty details in registry
- Taxonomy code
- 164W00000X
- Enumeration date
- Jan 27, 2026
- Record updated
- Jan 27, 2026
More registry details
- Provider type
- Organization · Type 2
Reported taxonomies and licenses
Specialty details in registry
164W00000X · Primary
License numbers and credentials are reported to NPPES; HCPList does not independently verify them.
Practice location
18 Lake DrWyandanch, NY 11798-3430
- Phone
- (934) 256-2441
- Fax
- (934) 256-2441
Mailing address
54 STATE ST STE 80416264ALBANY, NY 122072540
Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.
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