Individual
JENNIFER NICOLE BRICKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
177 FORT WASHINGTON AVE, MILSTEIN BUILDING 7GN435, NEW YORK, NY 10032-3733
(212) 305-2633
Mailing address
177 FORT WASHINGTON AVE, MILSTEIN BUILDING 7GN435, NEW YORK, NY 10032-3733
(212) 305-2633
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
10941
NY
363AS0400X
Surgical Physician Assistant
Primary
PA9103055
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
292059000
—
FL
Enumeration date
06/09/2005
Last updated
12/08/2021
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