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Individual

BRYAN QUARTIER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
6800 E GENESEE ST, FAYETTEVILLE, NY 13066-1089
(315) 635-5000
(315) 446-1816
Mailing address
5849 E CIRCLE DR STE B, CICERO, NY 13039-8654
(315) 635-0000

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
046929
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
046929
STATE PT LICENSE ISSUED BY OFFICE OF PROFESSIONS
NY
Enumeration date
02/10/2021
Last updated
02/10/2021
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