Individual
MR. BRYANT EDWARD PEARSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OPHTHALMIC DISPENSER
Contact information
Practice address
664 BAY STREET, STATEN ISLAND, NY 10304
(917) 529-2251
Mailing address
664 BAY STREET, STATEN ISLAND, NY 10304
(917) 529-2251
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
010122
NY
Other
Enumeration date
07/19/2018
Last updated
07/19/2018
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