Brady, Denice Ann

Brady, Denice Ann is an individual health care provider with primary practice located at 173 Church St , Saranac Lake NY 12983-1843. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Brady, Denice Ann can be contacted via phone (518) 891-6033.

Contact Information

Primary practice address
173 Church St Saranac Lake NY 12983-1843
Fax: (518) 891-6833
Website:

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 034653 New York

Profile Details

NPI number 1619299120
LBN Legal business name Brady, Denice Ann
Credentials RPH
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 24th, 2010
Last updated Feb 24th, 2010 - about 15 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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Identifiers

StateTypeNumberIssuer
All States NPI 1619299120 NPPES
New York Other 034653 LICENSE

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