Individual
DR. BRYAN PAYNE STANIFER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 MEDICAL CENTER DR, DHMC DEPARTMENT OF SURGERY, LEBANON, NH 03756-1000
(603) 650-8022
Mailing address
161 FORT WASHINGTON AVENUE, 3RD FLOOR, NEW YORK, NY 10032
(212) 305-4646
(212) 305-3474
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
288690
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
288690
NY STATE LICENSE
NY
Enumeration date
04/29/2008
Last updated
09/01/2023
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