Individual
DR. EDWARD GEORGE BRYANT IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
1284 DRYDEN ROAD, ITHACA, NY 14850-8795
(607) 257-1066
(607) 257-1378
Mailing address
1284 DRYDEN ROAD, ITHACA, NY 14850-8795
(607) 257-1066
(607) 257-1378
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TUV006637
NY
Other
Enumeration date
07/26/2005
Last updated
04/17/2019
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