Individual
DR. BRYAN G POPOVICI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
7304 OSWEGO RD, LIVERPOOL, NY 13090-3718
(315) 451-8256
Mailing address
7304 OSWEGO RD, LIVERPOOL, NY 13090-3718
(315) 451-8256
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
N003830-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00920594
—
NY
01
—
161378883
FEDERAL EMP. ID
NY
Enumeration date
03/08/2006
Last updated
05/19/2008
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