Marta M Bryceland
Nurse Practitioner - Gerontology
1200 South Ave Ste 301
Staten Island
, New York 10314-3420
Marta M Bryceland
Nurse Practitioner - Gerontology
1200 South Ave Ste 301
Staten Island
, New York 10314-3420
(732) 331-0891
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About
Features
Specialties
- Nurse Practitioner - Gerontology
Languages spoken
- English
Location
First Address
- Marta M Bryceland
- 130 Surfside Plz
- Staten Island, NY
- Zip : 10307-1941
- Phone : (732) 331-0891
Second Address
- Marta M Bryceland
- 1200 South Ave Ste 301
- Staten Island, NY
- Zip : 10314-3420
- Phone : (718) 370-1400
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LG0600X | Nurse Practitioner - Gerontology | F309564 | NY |
National Provider Identifier
| NPI | 1073147039 |
|---|---|
| Provider Name | Marta M Bryceland |
| First Address | Staten Island, NY 10307-1941 |
| Second Address | Staten Island, NY 10314-3420 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 28/02/2020 |
| Last Update Date | 28/02/2020 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.