Dr Bryant Medical Practice Pc | |
20515 Hollis Ave Saint Albans NY 11412 | |
(786) 203-2325 | |
Not Available |
Full Name | Dr Bryant Medical Practice Pc |
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Speciality | Internal Medicine |
Location | 20515 Hollis Ave, Saint Albans, New York |
Authorized Official Name and Position | Keisha Bryant (OWNER) |
Authorized Official Contact | 7862032325 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Dr Bryant Medical Practice Pc 20515 Hollis Ave Saint Albans NY 11412-1417 Ph: (786) 203-2325 | Dr Bryant Medical Practice Pc 20515 Hollis Ave Saint Albans NY 11412 Ph: (786) 203-2325 |
NPI Number | 1639681786 |
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Provider Enumeration Date | 10/30/2017 |
Last Update Date | 02/19/2021 |
Medicare PECOS PAC ID | 2860736543 |
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Medicare Enrollment ID | O20181206002338 |
Identifier | Type | State | Issuer |
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1639681786 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 289760-1 (New York) | Secondary |
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Clifford Beinart |
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Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1396701678 PECOS PAC ID: 9830187277 Enrollment ID: I20040504000820 |
Provider Name | Cary S Pollack |
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Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
Provider Identifiers | NPI Number: 1285734855 PECOS PAC ID: 6204919012 Enrollment ID: I20080215000534 |
Provider Name | Keisha K Bryant |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1760801740 PECOS PAC ID: 5092089441 Enrollment ID: I20170922002217 |
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