Individual
BRYCE HOLLAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
509 WILLIS AVE, 5TH FLOOR, BRONX, NY 10455-4001
(347) 571-2179
Mailing address
509 WILLIS AVE, 5TH FLOOR, BRONX, NY 10455-4001
(347) 571-2179
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
171M00000X
OTHER SERVICE PROVIDERS
NY
Enumeration date
06/18/2012
Last updated
06/18/2012
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