Individual
MR. ROBERT A BRYAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
2901 216TH ST, BAYSIDE, NY 11360-2810
(718) 281-8800
Mailing address
300 W 135TH ST, 5P, NEW YORK, NY 10030-2731
(212) 234-9639
(212) 234-9639
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
009597-1
NY
252Y00000X
Early Intervention Provider Agency
Primary
009597-1
NY
Other
Enumeration date
11/13/2008
Last updated
11/13/2008
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