Individual
ADAM RUSSELL BRADFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
750 E ADAMS ST, SYRACUSE, NY 13210-1834
(315) 464-5820
Mailing address
750 E ADAMS ST, SYRACUSE, NY 13210-1834
(315) 464-5820
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
208100000X
Physical Medicine & Rehabilitation Physician
Primary
0102209193
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/01/2011
Last updated
06/18/2025
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