Individual
MR. BRYAN MASTERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
5719 WIDEWATERS PKWY STE 2, SYRACUSE, NY 13214-1877
(315) 251-3100
Mailing address
5719 WIDEWATERS PKWY, SYRACUSE, NY 13214-1985
(315) 251-3100
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
002424
CT
363A00000X
Physician Assistant
Primary
014921
NY
Other
Enumeration date
08/02/2010
Last updated
08/31/2023
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