Provider Demographics
NPI:1639972227
Name:BRYSON, JOSEPH C (RN)
Entity type:Individual
Prefix:
First Name:JOSEPH
Middle Name:C
Last Name:BRYSON
Suffix:
Gender:
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2 WHIPPLE WAY
Mailing Address - Street 2:
Mailing Address - City:ALTAMONT
Mailing Address - State:NY
Mailing Address - Zip Code:12009-9203
Mailing Address - Country:US
Mailing Address - Phone:203-246-2037
Mailing Address - Fax:
Practice Address - Street 1:2 WHIPPLE WAY
Practice Address - Street 2:
Practice Address - City:ALTAMONT
Practice Address - State:NY
Practice Address - Zip Code:12009-9203
Practice Address - Country:US
Practice Address - Phone:203-246-2037
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-29
Last Update Date:2025-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY942979163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse