BRYAN SPONG

WEBSTER, NY
NPI1447098447
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LA2200X Nurse Practitioner, Adult Health
(Licence: NY  311862)
Enumeration Date2024-07-16
Last Update Date2024-07-16
Business Address
BRYAN SPONG
2000 EMPIRE BLVD STE 120
WEBSTER, NY 14580-1957
Phone number: 585-922-0930
Mailing Address
BRYAN SPONG
100 KINGS HWY S
ROCHESTER, NY 14617-5504
Phone number: