Bradley, Douglas
Bradley, Douglas is an sole proprietor health care provider with primary practice located at 26 Covert St Apt 3R , Brooklyn NY 11207-1071. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Bradley, Douglas can be contacted via phone (718) 737-5675.Contact Information
Primary practice address
26 Covert St Apt 3R
Brooklyn NY 11207-1071
Phone: (718) 737-5675
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 12104 | New York |
Profile Details
| NPI number | 1720254246 |
|---|---|
| LBN Legal business name | Bradley, Douglas |
| Credentials | CASAC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 5th, 2008 |
| Last updated | May 5th, 2008 - about 18 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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