Individual
BRIANA WICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1726 VETERANS MEMORIAL HWY, ISLANDIA, NY 11749-1512
(631) 600-7878
Mailing address
224 GRANT ST, MASSAPEQUA PARK, NY 11762-1520
(516) 557-5003
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
025225
NY
Other
Enumeration date
04/05/2022
Last updated
04/05/2022
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