Individual
JENNIFER MARIE BRADY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2231 BURDETT AVE STE 230, TROY, NY 12180-2447
(518) 271-5527
(518) 833-7909
Mailing address
PO BOX 14890, ALBANY, NY 12212-4890
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
319621
NY
208600000X
Surgery Physician
4301503787
MI
390200000X
Student in an Organized Health Care Education/Training Program
5315075809
MI
Other
Enumeration date
06/20/2016
Last updated
10/04/2022
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