Individual
DR. BRIAN NYE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
482 86TH STREET, LAMS LAB EXPRESS, BROOKLYN, NY 11209-4708
(718) 921-5488
(718) 238-2148
Mailing address
334 CORTELYOU AVENUE, STATEN ISLAND, NY 10312
(718) 984-5867
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TUV0036651
NY
Other
Enumeration date
01/30/2007
Last updated
07/08/2007
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