Individual
DR. TERENCE MICHAEL BRADY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5645 MAIN ST, FLUSHING, NY 11355-5045
(718) 670-1072
Mailing address
5645 MAIN ST, FLUSHING, NY 11355-5045
(718) 670-1072
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
169728
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01114598
—
NY
Enumeration date
11/28/2006
Last updated
07/08/2007
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