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Individual

MRS. TANNICE S BRYAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
BSN, RN

Contact information

Practice address
400 LAKEVILLE RD, NEW HYDE PARK, NY 11042-1121
(718) 603-1356
Mailing address
12 CYPRESS RD, INWOOD, NY 11096-1710

Taxonomy

Speciality
Code
Description
License number
State
163WX0106X
Occupational Health Registered Nurse
Primary
747320-01
NY

Other

Enumeration date
09/16/2025
Last updated
09/26/2025
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