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Bertina Bradshaw
Substance Use Disorder Rehabilitation Clinic/Center in Elmira, New York
NPI 1043593809

Bertina Bradshaw is a Substance Use Disorder Rehabilitation Clinic/Center based in Elmira, NY and is specialized in Rehabilitation, Substance Use Disorder. Bertina Bradshaw practices in Elmira, NY. The NPI Number for Bertina Bradshaw is 1043593809 and holds a License No. 161039939 (New York).

The current practice location address for Bertina Bradshaw is 571 St. Joseph's Blvd., Elmira, NY and can be reached out via phone at 607-737-5215. You can also correspond with Bertina Bradshaw through the mailing address at 571 ST. JOSEPH'S BLVD., ELMIRA, NY - 14901-3230 (mailing address contact number: ).

Location: 571 St. Joseph's Blvd., Elmira, NY, 14901-3230
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Provider Profile Details
NPI Number
1043593809
Provider Name
Bertina Bradshaw
Credential
Provider Entity Type
Individual
Gender
Female
Address
571 St. Joseph's Blvd., Elmira, NY, 14901-3230
Phone Number
607-737-5215
Fax Number
Provider Enumeration Date
09/27/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1023054376 05 NY
institution
Provider Business Practice Location Address Details
Address
571 St. Joseph's Blvd.
City
State
Zip
14901-3230
Phone Number
607-737-5215
Fax Number
person
Provider Business Mailing Address Details
Address
571 St. Joseph's Blvd.
City
State
Zip
14901-3230
Phone Number
607-737-5215
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Rehabilitation, Substance Use Disorder
Taxonomy
License No.
161039939 (New York)
Definition
Definition to come...
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