Individual
MS. ERIN K BRYANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
7785 N STATE ST STE G-30, LOWVILLE, NY 13367-1229
(315) 376-5861
(315) 376-5864
Mailing address
PO BOX 2337, SYRACUSE, NY 13220-2337
(315) 701-5610
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
011710
NY
363A00000X
Physician Assistant
MA051285
PA
363AM0700X
Medical Physician Assistant
011710
NY
363AS0400X
Surgical Physician Assistant
Primary
011710
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
011710
LICENSE NUMBER
NY
01
—
MA051285
LICENSE NUMBER
PA
Enumeration date
02/21/2007
Last updated
07/21/2022
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