Most Relevant Information
Provider Data
| NPI Number: | 1003273608 |
| Provider Name: | CLAUDETTE BRYANT |
| Entity Type: | Individual |
| Taxonomy Code: | 172V00000X |
| Specialty: | Community Health Worker |
| License Number: |
Most Important Dates
| Enumeration Date: | 01/27/2016 |
| Last Updated: | 01/27/2016 |
Provider Practice Location
17843 SELOVER RD
JAMAICA
NY
114343436
Practice Location Phone/Fax
| Phone: | 9173286399 |
| Fax: |
Provider Mailing Location
17843 SELOVER RD
JAMAICA
NY
114343436
Provider Mailing Phone/Fax
| Phone: | 9173286399 |
| Fax: |