Individual
BRYAN RESHAWN TRUSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
252 JAVA ST STE 222, BROOKLYN, NY 11222-5598
(347) 922-4836
Mailing address
252 JAVA ST STE 222, BROOKLYN, NY 11222-5598
Taxonomy
Speciality
Code
Description
License number
State
156FX1100X
Ophthalmic Technician/Technologist
Primary
010220
NY
Other
Enumeration date
11/16/2019
Last updated
12/26/2019
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