Basic Information
Provider Information
NPI: 1558578815
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: BRYDEN-CURRIE
FirstName: DARCIA
MiddleName:  
NamePrefix: MRS.
NameSuffix:  
Credential: RPA-C
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 4 HENRIETTA ST
Address2:  
City: VALLEY STREAM
State: NY
PostalCode: 115803121
CountryCode: US
TelephoneNumber: 9177710426
FaxNumber: 5165610319
Practice Location
Address1: LONG ISLAND COLLEGE HOSPITAL 339 HICKS STREET
Address2: ATTN MERCEDES CRESPO
City: BROOKLYN
State: NY
PostalCode: 11201
CountryCode: US
TelephoneNumber: 7187801832
FaxNumber:  
Other Information
ProviderEnumerationDate: 05/17/2007
LastUpdateDate: 07/08/2007
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363A00000X009891NYY Physician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant 

No ID Information.


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