Provider Demographics
NPI:1962237222
Name:BRYSKI, YISROEL ELIYAHU
Entity type:Individual
Prefix:
First Name:YISROEL
Middle Name:ELIYAHU
Last Name:BRYSKI
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1143 97TH ST
Mailing Address - Street 2:
Mailing Address - City:BAY HARBOR ISLANDS
Mailing Address - State:FL
Mailing Address - Zip Code:33154-2007
Mailing Address - Country:US
Mailing Address - Phone:818-681-5331
Mailing Address - Fax:
Practice Address - Street 1:1143 97TH ST
Practice Address - Street 2:
Practice Address - City:BAY HARBOR ISLANDS
Practice Address - State:FL
Practice Address - Zip Code:33154-2007
Practice Address - Country:US
Practice Address - Phone:818-681-5331
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-09-05
Last Update Date:2024-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL9659994163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163W00000XNursing Service ProvidersRegistered NurseGroup - Single Specialty