Individual
BRYAN PARDEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2310 HEMPSTEAD TPKE, EAST MEADOW, NY 11554-2035
(516) 346-5090
Mailing address
2310 HEMPSTEAD TPKE, EAST MEADOW, NY 11554-2035
(516) 346-5090
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
026236
NY
Other
Enumeration date
12/17/2019
Last updated
03/14/2021
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