Individual
AUDREY LORRAINE BRADSTREET
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
590 FISHERS STATION DR STE 130, VICTOR, NY 14564-9744
(585) 924-7207
Mailing address
495 MANSE LN, ROCHESTER, NY 14625-1111
(585) 369-6846
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
05/19/2025
Last updated
05/19/2025
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