Individual
BRIAN YUDHISTIRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
80 5TH AVE, NEW YORK, NY 10011-8002
(347) 707-7735
(718) 750-9135
Mailing address
210 WAVERLY AVE, KENMORE, NY 14217-1056
(347) 229-3939
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
752585
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
403375
NY
Other
Enumeration date
03/21/2021
Last updated
07/06/2024
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