Individual
BRYAN WILLIAM PURCELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4 POMPER CT, EAST NORTHPORT, NY 11731-6417
(917) 817-3541
Mailing address
4 POMPER CT, EAST NORTHPORT, NY 11731-6417
(917) 817-3541
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
308830
NY
Other
Enumeration date
02/19/2019
Last updated
02/19/2019
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