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Individual

DOUGLAS BRADLEY PET

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
100 WOODS RD, VALHALLA, NY 10595-1530
(914) 493-7000
Mailing address
505 PARNASSUS AVE # 114, SAN FRANCISCO, CA 94143-2204

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
342864
NY
2084N0400X
Neurology Physician
Primary
A167249
CA
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
04/26/2018
Last updated
05/01/2026
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