Atlas, Bradley Dale
Atlas, Bradley Dale is an sole proprietor health care provider with primary practice located at 31 Merrick Ave Suite 110, Merrick NY 11566-3477. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Atlas, Bradley Dale can be contacted via phone (516) 375-0784.Contact Information
Primary practice address
31 Merrick Ave Suite 110
Merrick NY 11566-3477
Phone: (516) 375-0784
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 012070-1 | New York |
Profile Details
| NPI number | 1568562080 |
|---|---|
| LBN Legal business name | Atlas, Bradley Dale |
| Credentials | PH. D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 24th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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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