Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BERTINA BRADSHAW
Active Sole ProprietorBERTINA BRADSHAW is a Substance Use Disorder Rehabilitation Facility healthcare provider located in ELMIRA, New York. NPI 1043593809 is currently active in the NPPES registry. Verify at CMS.
Substance Use Disorder Rehabilitation Facility · ELMIRA, NY
Registration Details
- NPI Number
- 1043593809
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 27, 2011 (14.83637111453 yrs)
- Last Updated
- Sep 27, 2011
- License
-
161039939 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
571 ST. JOSEPH'S BLVD.SUITE 102ELMIRA, NY, 149013230Browse NY providers · Browse ZIP 14901
- Phone
- 6077375215
- Primary Specialty
-
Substance Use Disorder Rehabilitation Facility
261QR0405X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.