Individual
MOLLY BRIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
541 E 71ST ST FL 3, NEW YORK, NY 10021-4871
(212) 606-1276
Mailing address
541 E 71ST ST FL 3, NEW YORK, NY 10021-4871
(212) 606-1276
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
032746
NY
Other
Enumeration date
10/18/2024
Last updated
10/18/2024
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