Individual
MR. BRYAN THOMAS SNIPE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
16040 78TH RD, FRESH MEADOWS, NY 11366-1969
(347) 776-1617
Mailing address
6738C 190TH LN APT 2A, FRESH MEADOWS, NY 11365-3733
(347) 776-1617
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
F432580-01
NY
Other
Enumeration date
09/07/2023
Last updated
09/07/2023
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