Bradley, Katrina Suzanne
Bradley, Katrina Suzanne is an individual health care provider with primary practice located at 232 West 80Th Street , New York NY 10024. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Bradley, Katrina Suzanne can be contacted via phone (646) 962-3020.Contact Information
Primary practice address
232 West 80Th Street
New York NY 10024
Phone: (646) 962-3020
Fax: (646) 962-3020
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 232265-1 | New York |
Profile Details
| NPI number | 1245204809 |
|---|---|
| LBN Legal business name | Bradley, Katrina Suzanne |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 13th, 2006 |
| Last updated | Jan 5th, 2021 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1245204809 | NPPES |
| New York | MEDICAID | 02667403 |
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