# HOWARD BRADNOCK MD PC

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

## Provider details

- **NPI number:** 1376712356
- **Authorized official:** HOWARD W BRADNOCK MD (PRESIDENT)
- **Authorized official phone:** (718) 217-6806

## Contact information

- **Practice address:** 19616 HILLSIDE AVE, HOLLIS, NY 11423-2125
- **Practice address phone:** (718) 217-6806
- **Practice address fax:** (718) 217-0339
- **Mailing address:** 19616 HILLSIDE AVE, HOLLIS, NY 11423-2125
- **Mailing address phone:** (718) 217-6806
- **Mailing address fax:** (718) 217-0339

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RG0100X | Gastroenterology Physician | 181072 | NY | Yes |

## Other

- **Enumeration date:** 02/25/2008
- **Last updated:** 06/10/2020