Individual
BRIANA THERESE SHORT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
622 W 168TH ST, NEW YORK, NY 10032-3720
(212) 305-9819
(212) 305-8464
Mailing address
630 W 168TH ST # 4, NEW YORK, NY 10032-3725
(212) 305-9819
(212) 305-8464
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
274596
NY
Other
Enumeration date
05/14/2010
Last updated
03/17/2018
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