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Individual

DR. BRYAN MICHAEL WOLYNSKI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
O.D.

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
Update your record

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