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Individual

BRADLEY SCOTT TRIVAX

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
500 COMMACK RD UNIT 204, COMMACK, NY 11725-5022
(631) 638-4600
(631) 638-4601
Mailing address
500 COMMACK RD UNIT 204, COMMACK, NY 11725-5022
(631) 638-4600
(631) 638-4601

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
236257
NY
207V00000X
Obstetrics & Gynecology Physician
A92047
CA

Other

Enumeration date
03/21/2007
Last updated
08/25/2022
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