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Individual

JEROME O'BRYANT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
267 44TH ST FL 2, BROOKLYN, NY 11232-2815
(718) 499-6066
(718) 499-6065
Mailing address
267 44TH ST FL 2, BROOKLYN, NY 11232-2815
(718) 499-6066
(718) 499-6065

Taxonomy

Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
456000
NY

Other

Enumeration date
01/18/2012
Last updated
01/18/2012
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