Individual
LISSETTE BRYCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1585 BROADWAY FL 8, NEW YORK, NY 10036-8200
(212) 761-6300
Mailing address
1585 BROADWAY FL 8, NEW YORK, NY 10036-8200
(212) 761-6300
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
008673
NY
Other
Enumeration date
09/01/2011
Last updated
09/01/2011
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