Provider Demographics
NPI:1366283681
Name:BRYK, DEBRA A (BCHN)
Entity type:Individual
Prefix:MRS
First Name:DEBRA
Middle Name:A
Last Name:BRYK
Suffix:
Gender:F
Credentials:BCHN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:29 WOODTHRUSH TRL
Mailing Address - Street 2:
Mailing Address - City:ORCHARD PARK
Mailing Address - State:NY
Mailing Address - Zip Code:14127-3065
Mailing Address - Country:US
Mailing Address - Phone:716-998-7837
Mailing Address - Fax:
Practice Address - Street 1:29 WOODTHRUSH TRL
Practice Address - Street 2:
Practice Address - City:ORCHARD PARK
Practice Address - State:NY
Practice Address - Zip Code:14127-3065
Practice Address - Country:US
Practice Address - Phone:716-998-7837
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-06-03
Last Update Date:2024-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171400000XOther Service ProvidersHealth & Wellness Coach