Individual
MS. BRYN VANDERMARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGNP-C
Contact information
Practice address
300 E 66TH ST, NEW YORK, NY 10065-6800
(646) 888-5209
(646) 888-4917
Mailing address
300 E 66TH ST, NEW YORK, NY 10065-6800
(646) 888-5209
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
626558
NY
363LA2200X
Adult Health Nurse Practitioner
Primary
308076
NY
Other
Enumeration date
02/20/2017
Last updated
12/28/2023
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