Individual
CASSANDRA BRADFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
750 E ADAMS ST, SYRACUSE, NY 13210-2306
(315) 464-2500
Mailing address
8049 CANDELA LANE, CLAY, NY 13041
(315) 876-6740
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
308424
NY
Other
Enumeration date
01/25/2018
Last updated
01/31/2019
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