Search › New York › 164W00000X
Shantell Bradley
NPI 1417432295 · on the registry since 2018
Practice
- Address
- 1 Bailey Dr
Massapequa, NY 11758 - Phone
- (516) 799-0389
Registry record
- Primary taxonomy
- 164W00000X
164W00000X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2018-09-27
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York