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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

GENELL LORENCIA BRADLEY

Active Sole Proprietor

GENELL LORENCIA BRADLEY is a Specialist healthcare provider located in FREEPORT, New York. NPI 1790030930 is currently active in the NPPES registry. Verify at CMS.

Specialist · FREEPORT, NY

Registration Details

NPI Number
1790030930
Provider Type
Individual
Gender
Female
NPI Issued
Jul 13, 2012 (14.073774989674 yrs)
Last Updated
Jul 13, 2012
Sole Proprietor
Yes

Practice Information

Address
111 WOODSIDE AVE
FREEPORT, NY, 115201236
Browse NY providers · Browse ZIP 11520
Phone
5164254853
Primary Specialty
Specialist
174400000X

Other Specialist Providers in FREEPORT, NY

Name Credential NPI
DR. LESTER N PLOSS M.D. 1750371241
MRS. BENITA FREDRICK PTA 1902813926
JUAN L LEDON MD 1093825499
DR. LOUIS SWARTZ MD 1619056421
MICHAEL NICOLOSI DO 1093944647
MS. CARMEN M SIMPSON MS ED. 1396007860
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.