Individual
MR. BRADLEY SCOTT PORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
170 FRANKLIN ST, SUITE 205, BUFFALO, NY 14202-2414
(716) 856-2702
(716) 856-8034
Mailing address
66 ORCHARD AVE, UPPER APT, WEST SENECA, NY 14224-1417
(716) 495-4149
(716) 852-0902
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
643069-1
NY
Other
Enumeration date
03/01/2017
Last updated
03/01/2017
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