Bradley, Mary
Bradley, Mary is an individual health care provider with primary practice located at Columbia University Department Pediatrics 3959 Broadway, New York NC 10032. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Bradley, Mary can be contacted via phone (212) 304-7297.Contact Information
Primary practice address
Columbia University Department Pediatrics 3959 Broadway
New York NC 10032
Phone: (212) 304-7297
Fax: (212) 544-1974
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 193401 | New York |
| Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology | 2080P0207X | 193401 | New York |
Profile Details
| NPI number | 1245204072 |
|---|---|
| LBN Legal business name | Bradley, Mary |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 16th, 2006 |
| Last updated | Jul 8th, 2007 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1245204072 | NPPES |
| New York | MEDICAID | 01788912 |
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