Individual
BRADLEY FOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
1900 2ND AVE, FLOOR 9, NEW YORK, NY 10029-7406
(212) 360-7875
Mailing address
1024 166TH ST, WHITESTONE, NY 11357-2259
(646) 610-2630
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
094018
NY
Other
Enumeration date
03/27/2015
Last updated
03/27/2015
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