Individual
KIRI PRYJMA BRANDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
80 E MAIN ST, CANTON, NY 13617
(315) 261-5934
Mailing address
50 LEROY ST, POTSDAM, NY 13676-1799
(315) 265-3300
(315) 393-2633
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
248313
NY
208600000X
Surgery Physician
Primary
248313
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02982878
—
NY
Enumeration date
06/14/2008
Last updated
07/10/2024
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