Individual provider · Type 1 NPI

Brianna Rene Jeremiah, PA

Medical Physician Assistant · Staten Island, NY

NPI number 1780321653 Active

Practice location

1 Campus Rd
Staten Island, NY 10301-4479

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XNone listed

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About NPI 1780321653

Brianna Rene Jeremiah, PA's National Provider Identifier is 1780321653, issued on May 12, 2022. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Staten Island, NY. The record was last updated on May 12, 2022.