Individual
BRADLEY JAY MARSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
182-19 HORACE HARDING EXPRESSWAY, FRESH MEADOWS, NY 11365
(718) 670-2672
(516) 437-4167
Mailing address
35 CHESTNUT HILL DR, OYSTER BAY, NY 11771-2508
(516) 641-2536
(516) 674-3707
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
N004776
NY
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
N004776
NY
Other
Enumeration date
10/03/2006
Last updated
01/04/2008
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