Individual
BRYAN EBERT
Active
Individual
BRYAN EBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207ZD0900X
Dermatopathology (Pathology) Physician
Primary
235059
NY
207ZP0101X
Anatomic Pathology Physician
235059-1
NY
Other
Enumeration date
04/10/2007
Last updated
06/09/2015
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