Individual
BRADLEY HART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
65 PENNSYLVANIA AVE, BINGHAMTON, NY 13903-1651
(607) 772-8772
(607) 772-8796
Mailing address
346 GRAND AVE, JOHNSON CITY, NY 13790-2580
(607) 772-8772
(607) 772-8796
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
006571
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03686931
—
NY
Enumeration date
04/27/2010
Last updated
11/11/2014
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