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Individual

DR. BRADLEY S RIEDERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
210 E SUNRISE HWY, STE 304, VALLEY STREAM, NY 11581-1329
(516) 825-8484
(516) 825-8491
Mailing address
210 E SUNRISE HWY, STE 304, VALLEY STREAM, NY 11581-1329
(516) 825-8484
(516) 825-8491

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
162517
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01019254
NY
Enumeration date
07/18/2006
Last updated
09/26/2014
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