Doctor Name: | DR. BRYAN JAMES MCGREAL |
NPI Number: | 1578786141 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 185477 |
Business Practice Address: | 324 Lafayette St Fl 8 New York, NY - 100122726 |
Business Phone Number: | 2125334040 |
Business Fax Number: | 2126251534 |
Mailing Address: | 470 W 24th St Apt 15j, NEW YORK |
State: | NY |
Postal Code: | 100111238 |
Phone Number: | 2122292078 |
Fax Number: | 2126251534 |
NPI Enumeration Date: | 04/11/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2084A0401X |
License Number: | 185477 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Psychiatry & Neurology |
Taxonomy Specialization: | Addiction Medicine |
Taxonomy Definition: | A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine |