Individual
BROZELLIA BRYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
212 E 106TH ST, NEW YORK, NY 10029-4007
(212) 360-2600
Mailing address
212 E 106TH ST, NEW YORK, NY 10029-4007
(212) 360-2600
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F330974
NY
Other
Enumeration date
07/28/2005
Last updated
11/29/2016
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