BRYAN BARACALDO

FLUSHING, NY
NPI1528599396
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LA2200X Nurse Practitioner Adult Health
(Licence: NY  308171)
Enumeration Date2017-03-23
Last Update Date2017-04-07
Business Address
MR. BRYAN BARACALDO
13519 77TH AVE
FLUSHING, NY 11367-2823
Phone number: 516-662-4487
Mailing Address
MR. BRYAN BARACALDO
13519 77TH AVE
FLUSHING, NY 11367-2823
Phone number: 516-662-4487