Provider Demographics
NPI:1912617341
Name:BREHENEY, SEAN
Entity type:Individual
Prefix:
First Name:SEAN
Middle Name:
Last Name:BREHENEY
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1125 US HIGHWAY 22 STE 150
Mailing Address - Street 2:
Mailing Address - City:BRIDGEWATER
Mailing Address - State:NJ
Mailing Address - Zip Code:08807-2939
Mailing Address - Country:US
Mailing Address - Phone:908-722-2033
Mailing Address - Fax:
Practice Address - Street 1:1756 KUNDES ST
Practice Address - Street 2:
Practice Address - City:NORTH BRUNSWICK
Practice Address - State:NJ
Practice Address - Zip Code:08902-3014
Practice Address - Country:US
Practice Address - Phone:732-735-6872
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-11-28
Last Update Date:2025-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer