Krivosta, Bryan J

Krivosta, Bryan J is an sole proprietor health care provider with primary practice located at 4747-10 Nesconset Hwy , Port Jefferson Station NY 11776-2880. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Krivosta, Bryan J can be contacted via phone (631) 474-7828.

Contact Information

Primary practice address
4747-10 Nesconset Hwy Port Jefferson Station NY 11776-2880
Phone: (631) 474-7828
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 052698 New York

Profile Details

NPI number 1093034076
LBN Legal business name Krivosta, Bryan J
Credentials PHARM D
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 31st, 2010
Last updated May 31st, 2010 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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