Individual
GERALD J BRYANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
141 E 55TH ST, 9B, NEW YORK, NY 10022-4030
(212) 644-5889
Mailing address
5101 39TH AVE, R15, SUNNYSIDE, NY 11104-1172
(212) 644-5889
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
009841-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01758869
—
NY
Enumeration date
02/07/2007
Last updated
07/08/2007
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