Individual
MARY BRIDGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1901 FIRST AVENUE 15TH FLOOR ROOM 15B-1, DEPARTMENT OF SURGERY, NEW YORK, NY 10029
(212) 423-6271
Mailing address
1901 FIRST AVENUE 15TH FLOOR ROOM 15B-1, DEPARTMENT OF SURGERY, NEW YORK, NY 10029
(212) 423-6271
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
330667-01
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/08/2022
Last updated
08/27/2024
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