Individual
ANNA BRADY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
123 GLADSTONE AVE, WEST ISLIP, NY 11795-3627
(631) 539-8498
Mailing address
123 GLADSTONE AVE, WEST ISLIP, NY 11795-3627
(631) 539-8498
Taxonomy
Speciality
Code
Description
License number
State
163WM0102X
Maternal Newborn Registered Nurse
483468-1
NY
163WM0705X
Medical-Surgical Registered Nurse
483468-1
NY
163WX0002X
High-Risk Obstetric Registered Nurse
Primary
483468-1
NY
Other
Enumeration date
08/20/2014
Last updated
08/20/2014
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