Individual
TIMOTHY M BRADLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
3176 ABBOTT RD UNIT 500, ORCHARD PARK, NY 14127-1069
(716) 822-2117
(716) 822-6185
Mailing address
3176 ABBOTT RD UNIT 500, ORCHARD PARK, NY 14127-1069
(716) 822-2117
(716) 822-8165
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
07/22/2021
Last updated
03/28/2022
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