Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213E00000X | Podiatrist | N002597 | NY |
Y | 222Z00000X | Podiatrist | N002597 | NY |
NPI | 1063683548 |
---|---|
Provider Name | Dr. Hugh Bryant |
First Address | Brooklyn, NY 11213-4942 |
Second Address | Brooklyn, NY 11213-4942 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 12/03/2008 |
Last Update Date | 12/03/2008 |