Individual
DR. BRADLEY ROBERT WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
732 MADISON AVE, ALBANY, NY 12208-3302
(518) 488-8129
Mailing address
732 MADISON AVE, ALBANY, NY 12208-3302
(518) 488-8129
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
003046
NY
Other
Enumeration date
09/26/2013
Last updated
12/27/2016
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