Individual
BRYAN JONATHAN CORDERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AGNP
Contact information
Practice address
650 CENTRAL AVE STE K, CEDARHURST, NY 11516-2301
(516) 804-8590
Mailing address
1 CORTELYOU ST W, HUNTINGTON STATION, NY 11746-3306
(646) 248-3218
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
311532
NY
Other
Enumeration date
10/04/2023
Last updated
10/04/2023
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