Provider Demographics
NPI:1326213372
Name:STANIFER, BRYAN PAYNE (MD)
Entity Type:Individual
Prefix:DR
First Name:BRYAN
Middle Name:PAYNE
Last Name:STANIFER
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:161 FORT WASHINGTON AVENUE
Mailing Address - Street 2:3RD FLOOR
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10032
Mailing Address - Country:US
Mailing Address - Phone:212-305-4646
Mailing Address - Fax:212-305-3474
Practice Address - Street 1:1 MEDICAL CENTER DR
Practice Address - Street 2:DHMC DEPARTMENT OF SURGERY
Practice Address - City:LEBANON
Practice Address - State:NH
Practice Address - Zip Code:03756-1000
Practice Address - Country:US
Practice Address - Phone:603-650-8022
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-29
Last Update Date:2023-09-01
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY288690208G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208G00000XAllopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery)
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY288690OtherNY STATE LICENSE