Most Relevant Information
Provider Data
| NPI Number: | 1003356106 |
| Provider Name: | BRYNJAR LEIFSSON |
| Entity Type: | Individual |
| Taxonomy Code: | 235500000X |
| Specialty: | Specialist/Technologist |
| License Number: | 3643198 |
Most Important Dates
| Enumeration Date: | 03/08/2017 |
| Last Updated: | 03/08/2017 |
Provider Practice Location
26 ALTAMORE ST
MELVILLE
NY
117472902
Practice Location Phone/Fax
| Phone: | 6314237700 |
| Fax: |
Provider Mailing Location
26 ALTAMORE ST
MELVILLE
NY
117472902
Provider Mailing Phone/Fax
| Phone: | 6314237700 |
| Fax: |