Carpenter-Bradley, Michelle

Carpenter-Bradley, Michelle is an individual health care provider with primary practice located at 1555 Long Pond Rd , Rochester NY 14626-4122. She recently has only one registered license in Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine, which is considered as her primary health care specialty. Carpenter-Bradley, Michelle can be contacted via phone (585) 723-7870.

Contact Information

Primary practice address
1555 Long Pond Rd Rochester NY 14626-4122
Fax: (585) 723-7871
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine 207RH0002X 160634-1 New York

Profile Details

NPI number 1669474854
LBN Legal business name Carpenter-Bradley, Michelle
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 1st, 2005
Last updated May 7th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1669474854 NPPES
New York MEDICAID 02308987

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