David Brice
Specialist in Rockville Centre, NY. Individual provider (NPI-1).
NPI number1104209451
StatusActive
Last updated in NPPESJul 6, 2015
Details
- NPI
- 1104209451
- Entity type
- Individual (NPI-1)
- Name
- David Brice
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 6, 2015
- Last updated
- Jul 6, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 174400000X | Specialist | – | – | Yes |
Practice location
1245 Langdon BlvdRockville Centre, NY 11570-3412
Phone 516-902-9529
Mailing address
1245 Langdon BlvdRockville Centre, NY 11570-3412
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