Individual
BRIAN POWERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
285 SILLS RD BLDG 18, EAST PATCHOGUE, NY 11772-4808
(631) 475-1224
(631) 475-1588
Mailing address
285 SILLS RD BLDG 18, EAST PATCHOGUE, NY 11772-4808
(631) 475-1224
(631) 475-1588
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
021221
NY
Other
Enumeration date
08/04/2017
Last updated
08/15/2019
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