Chery, Bradley

Chery, Bradley is an sole proprietor health care provider with primary practice located at 1839 Twain St , North Baldwin NY 11510-2340. He recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as his primary health care specialty. Chery, Bradley can be contacted via phone (917) 715-0463.

Contact Information

Primary practice address
1839 Twain St North Baldwin NY 11510-2340
Phone: (917) 715-0463
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1407517162
LBN Legal business name Chery, Bradley
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 5th, 2022
Last updated Jan 5th, 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 1407517162 NPPES
New York MEDICAID KIH517W10265

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