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Individual

AMELIA BRADLEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
339 N BROADWAY, NYACK, NY 10960-1522
(845) 818-2733
Mailing address
124 S CROSS RD, STAATSBURG, NY 12580-6031
(781) 414-1813

Taxonomy

Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
2347475
MA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
404504
NY

Other

Enumeration date
03/30/2022
Last updated
10/28/2022
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