Individual
BRADLEY WILLIAM BASTIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
N.P.
Contact information
Practice address
601 ELMWOOD AVE, ROCHESTER, NY 14642-0001
(585) 275-3676
Mailing address
601 ELMWOOD AVE, ROCHESTER, NY 14642-0001
(585) 275-3676
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
340621
NY
Other
Enumeration date
06/03/2016
Last updated
06/29/2023
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