Individual
DR. BRYAN S PROUSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
257 BEACH 20TH ST, FAR ROCKAWAY, NY 11691-3625
(718) 327-2020
(718) 327-6125
Mailing address
130 MEADOW LN, NEW ROCHELLE, NY 10805-2323
(516) 567-5234
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TUV7547-1
NY
Other
Enumeration date
07/21/2010
Last updated
04/21/2020
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