Individual
MARY ELLEN BRADEMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
11 5TH AVE, STE F, NEW YORK, NY 10003
(212) 477-7515
(212) 477-4826
Mailing address
11 5TH AVE, STE F, NEW YORK, NY 10003
(212) 477-7515
(212) 477-4826
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
155268
NY
Other
Enumeration date
09/07/2006
Last updated
09/17/2015
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