Individual
DR. MARK VINCENT BRADLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
423 E 23RD ST, NEW YORK, NY 10010-5011
(212) 686-7500
(212) 951-6357
Mailing address
333 W 56TH ST, SUITE 1F, NEW YORK, NY 10019-3764
(212) 582-1933
Taxonomy
Speciality
Code
Description
License number
State
2084P0015X
Psychosomatic Medicine Physician
Primary
225620
NY
Other
Enumeration date
12/29/2006
Last updated
07/22/2008
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