Bradbury, Mitchell Jonathan

Bradbury, Mitchell Jonathan is an sole proprietor health care provider with primary practice located at 14 Harwood Ct Ste 213 , Scarsdale NY 10583-4120. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Bradbury, Mitchell Jonathan can be contacted via phone (917) 751-1868.

Contact Information

Primary practice address
14 Harwood Ct Ste 213 Scarsdale NY 10583-4120
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 010694 New York

Profile Details

NPI number 1154486843
LBN Legal business name Bradbury, Mitchell Jonathan
Credentials PH.D., PSYCHOLOGY
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 25th, 2006
Last updated Dec 28th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1154486843 NPPES
New York Other 74562 UHCUBH PROVIDER ID
New York Other P1107568 UHCUBH PROVIDER ID
New York Other 1048319 UHCUBH PROVIDER ID
New York Other 5629606 UHCUBH PROVIDER ID
New York Other V90141 UHCUBH PROVIDER ID

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