Individual
DR. BRYAN MICHAEL WOLYNSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
9704 SUTPHIN BLVD, JAMAICA, NY 11435-4721
(718) 657-7088
(718) 657-7092
Mailing address
60 MADISON AVE FL 5, NEW YORK, NY 10010-1600
(212) 545-2400
(646) 312-0481
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
OPC 3623
FL
152W00000X
Optometrist
Primary
TUV006289-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02531822
—
NY
Enumeration date
09/21/2006
Last updated
05/08/2019
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