Individual
DR. MARY BRADLEY
Active
Sole proprietor
Provider details
NPI number
Gender
F
Contact information
Practice address
COLUMBIA UNIVERSITY DEPARTMENT PEDIATRICS, 3959 BROADWAY, NEW YORK, NC 10032
(212) 304-7297
(212) 544-1974
Mailing address
220 RIVERSIDE BLVD, NEW YORK, NY 10069-1001
(212) 873-7146
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
193401
NY
2080P0207X
Pediatric Hematology & Oncology Physician
Primary
193401
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01788912
—
NY
Enumeration date
02/16/2006
Last updated
09/11/2025
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