Individual
CALANDRA BRYANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
61 DELANO ST, PULASKI, NY 13142-1400
(315) 298-6564
(315) 298-7831
Mailing address
61 DELANO ST, PULASKI, NY 13142-1400
(315) 298-6564
(315) 298-7831
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
339022
NY
Other
Enumeration date
07/29/2014
Last updated
07/29/2014
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