Individual
BRYAN HENRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
360 PARRISH ST, CANANDAIGUA, NY 14424-1789
(585) 396-1980
(585) 936-9509
Mailing address
601 ELMWOOD AVE, BOX 679B, ROCHESTER, NY 14642-0001
(585) 396-1980
(585) 396-9509
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
225837
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000929766001
BC/BS OF WESTERN NY
NY
05
—
02752725
—
NY
Enumeration date
06/23/2006
Last updated
07/05/2023
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