Ebony Bryan

Licensed Practical Nurse · Arverne, NY

Individual Active NPI

NPI number 1164318085

Practice location

6603 Beach Channel Dr
Arverne, NY 11692-1433
Phone
(718) 471-8671

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NPI record

NPI
1164318085
Entity type
Individual (Type 1)
Enumeration date
June 16, 2025
Last updated
June 16, 2025
Certified
June 16, 2025
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Licensed Practical Nurse Primary 164W00000X 309401-01 NY

Mailing address

128 Guy Lombardo Ave Apt D6
Freeport, NY 11520-4403
Phone
(516) 434-1116

About Ebony Bryan

Ebony Bryan is a healthcare provider registered in the NPI registry with the primary taxonomy Licensed Practical Nurse (code 164W00000X). The practice location is 6603 Beach Channel Dr, Arverne, NY 11692-1433. The NPI number 1164318085 was assigned on June 16, 2025 and the record was last updated on June 16, 2025.

Ebony Bryan lists a license in the registry: #309401-01 (NY) for Licensed Practical Nurse. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Ebony Bryan?

The NPI number is 1164318085.

What is the phone number of Ebony Bryan?

The phone number listed for the practice location is (718) 471-8671.

Where is Ebony Bryan located?

6603 Beach Channel Dr, Arverne, NY 11692-1433.

What is the taxonomy code for Ebony Bryan?

The primary taxonomy code is 164W00000X – Licensed Practical Nurse.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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