BRYAN RESHAWN TRUSELL


Address: 252 Java St Ste 222, Brooklyn, NY 11222-5598
Phone: 3479224836

BRYAN RESHAWN TRUSELL (NPI# 1952946626) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1952946626
Entity Type Individual
Full Name BRYAN RESHAWN TRUSELL
Practice Address 252 Java St Ste 222
Brooklyn
NY 11222-5598
Practice Telephone 3479224836
Enumeration Date 2019-11-16
Last Update Date 2019-12-26
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 156FX1100X Technician/Technologist
Specialization: Ophthalmic
010220 NY Eye and Vision Services Providers

Office Location

Street Address 252 JAVA ST STE 222
City BROOKLYN
State NY
Zip Code 11222-5598

Providers in the same location

NPI Name Taxonomy Address Enumeration
1326684515 Specs On Site Technician/Technologist 252 Java St Ste 222, Brooklyn, NY 11222-5598 2019-11-22

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Taxonomy Information

Taxonomy Code 156FX1100X
Grouping Eye and Vision Services Providers
Classification Technician/Technologist
Specialization Ophthalmic

Taxonomy Definition

Definition to come...

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1720319312 Marvin Slomowitz Technician/Technologist 1221 E 9th St, Brooklyn, NY 11230-5107 2010-01-20
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1740271352 Alexander Goldshmidt Technician/Technologist 7401 18th Ave, Brooklyn, NY 11204-5613 2005-11-02
1023375987 Bronislav Mednik Technician/Technologist 7516 3rd Ave, Brooklyn, NY 11209-3104 2012-04-17
1720225733 Vadim Kruzhkov Technician/Technologist 764 Manhattan Ave, Brooklyn, NY 11222-2967 2009-01-13
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Competitor

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City BROOKLYN
Zip Code 11222

Improve Information

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Dataset Information

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.

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