Individual
DAISY BRYAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
462 S 3RD AVE, MOUNT VERNON, NY 10550-4508
(914) 667-2405
Mailing address
462 S 3RD AVE, MOUNT VERNON, NY 10550-4508
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
237929-1
NY
Other
Enumeration date
03/17/2008
Last updated
03/17/2008
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