Individual
MS. TRACEY J BRADY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNA
Contact information
Practice address
107 MEADOW LN, SOUTH NEW BERLIN, NY 13843-2260
(607) 334-4228
Mailing address
107 MEADOW LN, SOUTH NEW BERLIN, NY 13843-2260
(607) 334-4228
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
342551080507R
NY
Other
Enumeration date
10/09/2007
Last updated
10/09/2007
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