Individual provider · Type 1 NPI

Mario Omar Anthony Bryson, MD

Student in an Organized Health Care Education/Training Program · New York, NY

NPI number 1619768504 Active

Practice location

506 Lenox Avenue, Rm. 13-106 Mlk
New York, NY 10037

Call (212) 939-1406 Map

Fax (212) 939-1462

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1619768504

Mario Omar Anthony Bryson, MD's National Provider Identifier is 1619768504, issued on May 13, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in New York, NY. The record was last updated on Aug 21, 2025.