Individual
DR. ELLEN COLLEEN BRADLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
707 E MAIN ST, MIDDLETOWN, NY 10940-2650
(845) 333-7575
Mailing address
707 E MAIN ST, MIDDLETOWN, NY 10940-2650
(845) 333-7575
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
310102
NY
207RP1001X
Pulmonary Disease Physician
310102
NY
207RS0012X
Sleep Medicine (Internal Medicine) Physician
Primary
310102
NY
Other
Enumeration date
05/19/2017
Last updated
10/16/2024
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