Individual
MR. BRADLEY DEAN SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
C.O.
Contact information
Practice address
813 CARMAN AVE UNIT A, WESTBURY, NY 11590-6447
(516) 333-7200
(516) 333-7277
Mailing address
813 CARMAN AVE UNIT A, WESTBURY, NY 11590-6447
(516) 333-7200
(516) 333-7277
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
Primary
—
—
Other
Enumeration date
12/06/2010
Last updated
12/06/2010
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