Individual
TERESA BRYANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
265 BROADHOLLOW RD STE 200, MELVILLE, NY 11747-4833
(516) 965-8326
Mailing address
68 BARCLAY PLZ APT 7, NEW WINDSOR, NY 12553-7505
(845) 591-3934
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
663904
NY
Other
Enumeration date
03/07/2024
Last updated
03/07/2024
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