Individual
BRIAN LAURA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
20 PROSPECT AVE STE 907, HACKENSACK, NJ 07601-1989
(201) 342-2550
Mailing address
6301 RIVERDALE AVE, BRONX, NY 10471-1046
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
02/09/2026
Last updated
03/03/2026
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