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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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 16 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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