Individual
BRYAN BICKFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
590 AVENUE OF THE AMERICAS, NEW YORK, NY 10011-2019
(347) 913-2959
Mailing address
590 AVENUE OF THE AMERICAS, 11TH FLOOR, NEW YORK, NY 10011-2019
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
72 092458
NY
Other
Enumeration date
10/17/2014
Last updated
10/17/2014
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