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
Phone: (201) 861-0182
Fax:
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1780050245 | NPPES |
New Jersey | Other | 46TR00632700 | NEW JERSEY OCCUPATIONAL THERAPY COUNCIL |
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