Bryda, Mary

Bryda, Mary is an individual health care provider with primary practice located at 6612 Bergenline Ave , West New York NJ 07093-1719. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as her primary health care specialty. Bryda, Mary can be contacted via phone (201) 861-0182.

Contact Information

Primary practice address
6612 Bergenline Ave West New York NJ 07093-1719
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 225XP0200X 46TR00632700 New Jersey

Profile Details

NPI number 1780050245
LBN Legal business name Bryda, Mary
Credentials OTR/L
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 19th, 2015
Last updated Aug 19th, 2015 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1780050245 NPPES
New Jersey Other 46TR00632700 NEW JERSEY OCCUPATIONAL THERAPY COUNCIL

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