Individual
DR. BREALYN SELLERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
80 5TH AVE, SUITE 1206B, NEW YORK, NY 10011-8002
(917) 912-1604
Mailing address
80 5TH AVE, SUITE 1206B, NEW YORK, NY 10011-8002
(917) 912-1604
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
211030
NY
2084P0802X
Addiction Psychiatry Physician
211030
NY
Other
Enumeration date
07/19/2011
Last updated
07/19/2011
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