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NPI Code Detail

MEDICARE: CHANDLER BRYCE SY

MEDICARE: CHANDLER BRYCE SY
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207ZP0102XAnatomic Pathology & Clinical Pathology Physician25MA13066700NJ
2207ZP0102XAnatomic Pathology & Clinical Pathology Physician341798NY

General Provider Information

NPI Number : 1437739059
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHANDLER BRYCE SY
Provider Business Mailing Address
First Line : 525 E 68TH ST
Second Line :
City : NEW YORK
State : NY
Zip : 10065-4870
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 525 E 68TH ST
Second Line :
City : NEW YORK
State : NY
Zip : 10065-4870
Country : US
Telephone Number : 212-746-6464
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/08/2021
Last Update Date : 06/15/2026

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Directions to “ CHANDLER BRYCE SY ” Practice Location

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