Bradley, Mary

Bradley, Mary is an individual health care provider with primary practice located at Columbia University Department Pediatrics 3959 Broadway, New York NC 10032. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Bradley, Mary can be contacted via phone (212) 304-7297.

Contact Information

Primary practice address
Columbia University Department Pediatrics 3959 Broadway New York NC 10032
Phone: (212) 304-7297
Fax: (212) 544-1974
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 193401 New York
Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology 2080P0207X 193401 New York

Profile Details

NPI number 1245204072
LBN Legal business name Bradley, Mary
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 16th, 2006
Last updated Jul 8th, 2007 - about 19 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 1245204072 NPPES
New York MEDICAID 01788912

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