Individual
MISS BRIANNA RENE JEREMIAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1 CAMPUS RD, STATEN ISLAND, NY 10301-4479
(718) 390-3100
Mailing address
1 CAMPUS RD, STATEN ISLAND, NY 10301-4479
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
05/12/2022
Last updated
05/12/2022
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