# BRADLEY R ERTEL MD

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134489115
- **Authorized official:** DR. BRADLEY R. ERTEL M.D. (SOLE OWNER)
- **Authorized official phone:** (716) 491-0271

## Contact information

- **Practice address:** 565 ABBOTT RD, BUFFALO, NY 14220-2039
- **Practice address phone:** (716) 826-7000
- **Mailing address:** 2469 KENSINGTON AVE, AMHERST, NY 14226-4928
- **Mailing address phone:** (716) 491-0271

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | 263500 | NY | Yes |

## Other

- **Enumeration date:** 05/23/2012
- **Last updated:** 05/23/2012