Individual
BRADLEY M AUSTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T., D.P.T.
Contact information
Practice address
100 UNION RD, WEST SENECA, NY 14224-4656
(716) 675-4444
(716) 675-4446
Mailing address
100 UNION RD, WEST SENECA, NY 14224-4656
(716) 675-4444
(716) 675-4446
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
021874
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00011174401
UNIVERA
NY
01
—
000626275001
BLUE CROSS
NY
01
—
825400
ACN
NY
01
—
9311341
INDEPENDENT HEALTH
NY
Enumeration date
05/31/2005
Last updated
07/08/2007
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