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Gennel Tanisha Bradley, MSED
Specialist in Freeport, New York
NPI 1912409608

Gennel Tanisha Bradley is a Specialist based in Freeport, NY. Gennel Tanisha Bradley practices in Freeport, NY and has the professional credentials of MSED. The NPI Number for Gennel Tanisha Bradley is 1912409608 and holds a License No. (New York).

The current practice location address for Gennel Tanisha Bradley is 8 Wilshire Ct, Freeport, NY and can be reached out via phone at 516-749-3851.

Location: 8 Wilshire Ct, Freeport, NY, 11520-6233
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1912409608
Provider Name
Gennel Tanisha Bradley
Credential
MSED
Provider Entity Type
Individual
Gender
Female
Address
8 Wilshire Ct, Freeport, NY, 11520-6233
Phone Number
516-749-3851
Fax Number
Provider Enumeration Date
03/08/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
8 Wilshire Ct
City
Freeport
State
New York
Zip
11520-6233
Phone Number
516-749-3851
Fax Number
person
Provider Business Mailing Address Details
Address
8 Wilshire Ct
City
Freeport
State
New York
Zip
11520-6233
Phone Number
516-749-3851
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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