Individual
BREH N DYSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
880 THIERIOT AVE, APT 3A, BRONX, NY 10473-2821
(718) 617-2002
Mailing address
880 THIERIOT AVE, APT 3A, BRONX, NY 10473-2821
(718) 617-2002
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
618318
NY
163WC0400X
Case Management Registered Nurse
618318
NY
Other
Enumeration date
11/04/2011
Last updated
11/04/2011
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