BRYAN DANZI (NPI# 1770962862) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770962862 |
| Entity Type | Individual |
| Full Name | BRYAN DANZI |
| Credential | D.O. |
| Practice Address |
1565 Long Pond Rd Rochester NY 14626-4122 |
| Mailing Address |
100 Kings Hwy S Rochester NY 14617-5504 |
| Practice Telephone | 5857237723 |
| Practice Fax Number | 5857237301 |
| Mailing Telephone | 5857237723 |
| Mailing Fax Number | 5857237301 |
| Enumeration Date | 2015-05-22 |
| Last Update Date | 2020-09-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084A0401X |
Psychiatry & Neurology Specialization: Addiction Medicine |
297717 | NY | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1200 Driving Park Ave, Newark, NY 145131090 | 3153322022 | |
| 1565 Long Pond Rd, Rochester, NY 146264122 | 5857237723 | 5857237301 |
| 16 Bank St, Batavia, NY 140202250 | 5853447276 | 5853448190 |
| 2 Coulter Rd, Clifton Springs, NY 144321122 | 3154623000 | 3154627007 |
| 35 North St, Canandaigua, NY 144241075 | 5853940530 | 5853943872 |
| 490 E Ridge Rd, Rochester, NY 146211229 | 5859222500 | 5859222646 |
| Street Address |
1565 LONG POND RD |
| City | ROCHESTER |
| State | NY |
| Zip Code | 14626-4122 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548299738 | Patricia Halligan | Psychiatry & Neurology | 1565 Long Pond Rd, Chemical Dependency, Rochester, NY 14626-4122 | 2006-07-01 |
| 1669009122 | Amanda R Morse | Counselor | 1565 Long Pond Rd, Rochester, NY 14626-4122 | 2020-03-25 |
| 1306472592 | Brianna Becker | Counselor | 1565 Long Pond Rd, Rochester, NY 14626-4122 | 2020-03-19 |
| 1598390320 | David J Mezynski | Social Worker | 1565 Long Pond Rd, Rochester, NY 14626-4122 | 2020-03-12 |
| 1265075725 | Zoie Presutti | Counselor | 1565 Long Pond Rd, Rochester, NY 14626-4122 | 2019-10-28 |
| 1215586169 | Brianna F Lippa | Counselor | 1565 Long Pond Rd, Rochester, NY 14626-4122 | 2019-09-04 |
| 1659926103 | Amy Renee Cruz | Counselor | 1565 Long Pond Rd, Rochester, NY 14626-4122 | 2019-08-01 |
| 1588222558 | Allison Miller | Counselor | 1565 Long Pond Rd, Rochester, NY 14626-4122 | 2019-06-04 |
| 1467010876 | Jennifer Ann Esten | Counselor | 1565 Long Pond Rd, Rochester, NY 14626-4122 | 2019-05-31 |
| 1215419106 | Alicia Michelle Maxwell | Counselor | 1565 Long Pond Rd, Rochester, NY 14626-4122 | 2018-09-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760978084 | Elizabeth M Neenan | Nurse Practitioner | 105 Canal Landing Blvd. Suite 1, Rochester, NY 14626 | 2018-07-10 |
| 1811488737 | Anthony Richard Mesolella | Dentist | 2081 W Ridge Rd Ste 204, Rochester, NY 14626 | 2018-05-26 |
| 1285157370 | Heather Kate Byam | Nurse Anesthetist, Certified Registered | 280 Mill Road, Rochester, NY 14626 | 2017-07-20 |
| 1710415039 | Abner O De Los Santos | Dentist | 120 Erie Canal Dr Ste 150, Rochester, NY 14626 | 2017-05-31 |
| 1609308709 | Ulfat Shafiq | Dentist | 1100 Long Pond Rd Ste 115, Greece, NY 14626 | 2017-03-29 |
| 1174982953 | S.a.v.o.c L.l.c | Preferred Provider Organization | 2833 West Ridge Road, Pearle Vision Ridgemont Plaza Suite 'a', Rochester, NY 14626 | 2016-02-22 |
| 1700244357 | Kerri Anne Sawyer | Registered Nurse | 82 Southridge Drive, Rochester, NY 14626 | 2016-02-10 |
| 1518398106 | Braces of Greece | Exclusive Provider Organization | 770 Fetzner Rd., Rochester, NY 14626 | 2013-12-06 |
| 1477983443 | Amy Pawlyk | Licensed Practical Nurse | 116 Annie Lane, Rochester, NY 14626 | 2013-11-12 |
| 1689911208 | Kathleen Zimmerman | Occupational Therapist | 1555 Long Pond Rd., 4th Floor, Rochester, NY 14626 | 2013-01-16 |
| Find all providers in zip 14626 | ||||
| Taxonomy Code | 2084A0401X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Addiction Medicine |
| A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine |
| Notes: Source: American Osteopathic Board of Neurology and Psychiatry, 2007 [1/1/2008: definition added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528417037 | Victor Nertey Nettey Jr. | Psychiatry & Neurology | 200 1st St Sw, Rochester, MN 55905-0001 | 2016-06-06 |
| 1215319348 | Cameron Risma | Psychiatry & Neurology | 200 1st St Sw, Rochester, MN 55905-6927 | 2015-06-25 |
| 1538508478 | Joseph Anthony Carley Iv | Psychiatry & Neurology | 200 1st St Sw, Rochester, MN 55905-0001 | 2013-06-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083047658 | Stanley Samuel | Psychiatry & Neurology | 2925 West 19th Street, Brooklyn, NY 11224 | 2013-08-18 |
| 1942434311 | Daniel Rollings Karlin | Psychiatry & Neurology | 2061 Narragansett Ave # 2, Bronx, NY 10461-1741 | 2009-05-13 |
| 1689820474 | Timothy Koehler Brennan | Psychiatry & Neurology | 1000 10th Ave Fl 8, New York, NY 10019 | 2008-08-12 |
| 1821295577 | Marianne Elizabeth Chai | Psychiatry & Neurology | 226 E 52nd St, Center for Living, New York, NY 10022-6201 | 2007-06-27 |
| 1538371331 | James Peter Wolberg | Psychiatry & Neurology | 1st Ave & 16th St, Bernstein Pavilion, New York, NY 10003 | 2007-05-04 |
| 1578786141 | Bryan James Mcgreal | Psychiatry & Neurology | 324 Lafayette St Fl 8, New York, NY 10012-2726 | 2007-04-11 |
| 1417070442 | Alejo Parellada | Psychiatry & Neurology | 634 Bergen St, #1, Brooklyn, NY 11238-3450 | 2007-04-06 |
| 1366563652 | Steven Joesph Lee | Psychiatry & Neurology | 130 W. 19th St., Suite Thfb, New York, NY 10011 | 2007-04-03 |
| 1154463511 | Ralph Joseph Carotenuto | Psychiatry & Neurology | 157 South Lake Ave, Albany, NY 12208 | 2007-02-13 |
| 1245383405 | John J Mariani | Psychiatry & Neurology | 51 E 25th St Ste 7e, New York, NY 10010-2945 | 2007-01-19 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.