Individual
INEZ BRADLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
276 SHEPARD AVE # 3, ENGLEWOOD, NJ 07631-3223
(917) 645-8911
Mailing address
276 SHEPARD AVE # 3, ENGLEWOOD, NJ 07631-3223
(917) 645-8911
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
NY
Other
Enumeration date
09/29/2021
Last updated
10/08/2021
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