Provider Demographics
NPI:1538282892
Name:HUJSAK, BRYAN DAVID (PT)
Entity Type:Individual
Prefix:MR
First Name:BRYAN
Middle Name:DAVID
Last Name:HUJSAK
Suffix:
Gender:M
Credentials:PT
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Mailing Address - Street 1:3280 ROCHAMBEAU AVE
Mailing Address - Street 2:APARTMENT 1L
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10467-3010
Mailing Address - Country:US
Mailing Address - Phone:347-400-8471
Mailing Address - Fax:
Practice Address - Street 1:380 2ND AVE
Practice Address - Street 2:9TH FLOOR
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10010-5615
Practice Address - Country:US
Practice Address - Phone:646-438-7871
Practice Address - Fax:646-438-7809
Is Sole Proprietor?:No
Enumeration Date:2007-04-09
Last Update Date:2013-08-28
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY017845225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist