Clark, Bradley C

Clark, Bradley C is an individual health care provider with primary practice located at 3415 Bainbridge Ave , Bronx NY 10467-2403. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Pediatric Cardiology. Allopathic & Osteopathic Physicians / Pediatric Cardiology is his primary health care specialty. Clark, Bradley C can be contacted via phone (718) 741-2183.

Contact Information

Primary practice address
3415 Bainbridge Ave Bronx NY 10467-2403
Phone: (718) 741-2183
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Pediatric Cardiology 2080P0202X 261152 New York

Profile Details

NPI number 1316107642
LBN Legal business name Clark, Bradley C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 10th, 2008
Last updated Mar 17th, 2018 - about 6 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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