Individual
MR. MICHAEL BEDFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R.N
Contact information
Practice address
777 SEAVIEW AVE, STATEN ISLAND, NY 10305-3409
(718) 680-0006
Mailing address
777 SEAVIEW AVE, STATEN ISLAND, NY 10305-3409
(718) 680-0006
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
485341
NY
Other
Enumeration date
09/29/2010
Last updated
09/29/2010
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