Individual
MRS. KELLY JEAN EURICH-BRADLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N. C.R.N.A.
Contact information
Practice address
255 LAFAYETTE AVE, SUFFERN, NY 10901-4812
(845) 368-5039
(845) 368-5327
Mailing address
100 ROUTE 59, SUITE 105, SUFFERN, NY 10901-4927
(845) 357-5775
(845) 357-5777
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
509632-1
NY
367500000X
Certified Registered Nurse Anesthetist
Primary
071588
NY
Other
Enumeration date
06/05/2006
Last updated
06/07/2012
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