National Provider Identifier
Bryan Spong
Bryan Spong is listed in the NPPES registry with a primary specialty of Adult Health Nurse Practitioner in Webster, NY and a listed phone number of (585) 922-0930.
Profile Overview
- NPI
- 1447098447
- Provider Type
- Individual
- Primary Specialty
- Adult Health Nurse Practitioner
- Enumeration Date
- July 16, 2024
- Last Updated
- July 16, 2024
Practice Location
- 2000 Empire Blvd Ste 120
- Webster, NY 14580-1957
Phone: (585) 922-0930
Mailing Address
- 100 Kings Hwy S
- Rochester, NY 14617-5504
Specialties
- Adult Health Nurse Practitioner (363LA2200X)
Full Record
- NPI
- 1447098447
- Entity Type
- Individual
- Last Name
- Spong
- First Name
- Bryan
- Mailing Street Address
- 100 Kings Hwy S
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14617-5504
- Mailing Country
- US
- Practice Street Address
- 2000 Empire Blvd Ste 120
- Practice City
- Webster
- Practice State
- NY
- Practice ZIP Code
- 14580-1957
- Practice Country
- US
- Practice Phone
- (585) 922-0930
- Enumeration Date
- July 16, 2024
- Last Updated
- July 16, 2024
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- July 16, 2024
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Adult Health Nurse Practitioner (363LA2200X)