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Mr. Richmond Bradshaw JR.
Addiction (Substance Use Disorder) Counselor in Staten Island, New York
NPI 1356104806

Richmond Bradshaw JR. is an Addiction (Substance Use Disorder) Counselor based in Staten Island, NY and is specialized in Addiction (Substance Use Disorder). Richmond Bradshaw JR. practices in Staten Island, NY. The NPI Number for Richmond Bradshaw JR. is 1356104806 and holds a License No. 37015 (New York).

The current practice location address for Richmond Bradshaw JR. is 273 Heberton Ave, Staten Island, NY and can be reached out via phone at 718-412-3170.

Location: 273 Heberton Ave, Staten Island, NY, 10302-1809
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1356104806
Provider Name
Richmond Bradshaw JR.
Credential
Provider Entity Type
Individual
Gender
Male
Address
273 Heberton Ave, Staten Island, NY, 10302-1809
Phone Number
718-412-3170
Fax Number
Provider Enumeration Date
02/06/2024
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
273 Heberton Ave
City
Staten Island
State
New York
Zip
10302-1809
Phone Number
718-412-3170
Fax Number
person
Provider Business Mailing Address Details
Address
273 Heberton Ave
City
Staten Island
State
New York
Zip
10302-1809
Phone Number
718-412-3170
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
37015 (New York)
Definition
Definition to come...
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