Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XS0114X | Adult Reconstructive Orthopaedic Surgeon | 160873 | NY |
NPI | 1245204098 |
---|---|
Provider Name | Dr. Eli Bryk |
First Address | New York, NY 10038-2612 |
Second Address | New York, NY 10038-2612 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 16/02/2006 |
Last Update Date | 16/09/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
01026200 | (05) | NY |
A59858 | (02) | NY |