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Genell Lorencia Bradley
Specialist in Freeport, New York
NPI 1790030930

Genell Lorencia Bradley is a Specialist based in Freeport, NY. Genell Lorencia Bradley practices in Freeport, NY. The NPI Number for Genell Lorencia Bradley is 1790030930 and holds a License No. (New York).

The current practice location address for Genell Lorencia Bradley is 111 Woodside Ave, Freeport, NY and can be reached out via phone at 516-425-4853.

Location: 111 Woodside Ave, Freeport, NY, 11520-1236
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1790030930
Provider Name
Genell Lorencia Bradley
Credential
Provider Entity Type
Individual
Gender
Female
Address
111 Woodside Ave, Freeport, NY, 11520-1236
Phone Number
516-425-4853
Fax Number
Provider Enumeration Date
07/13/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
111 Woodside Ave
City
Freeport
State
New York
Zip
11520-1236
Phone Number
516-425-4853
Fax Number
person
Provider Business Mailing Address Details
Address
111 Woodside Ave
City
Freeport
State
New York
Zip
11520-1236
Phone Number
516-425-4853
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
(New York)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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