Individual
DR. BRADLEY JESSE ELLIOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
677 PLANK RD, CLIFTON PARK, NY 12065-2020
(518) 383-4889
(518) 383-4892
Mailing address
677 PLANK RD, CLIFTON PARK, NY 12065-2020
(518) 383-4889
(518) 383-4892
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
X005543-1
NY
Other
Enumeration date
09/20/2006
Last updated
07/08/2007
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