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Individual

MICHELLE CARPENTER-BRADLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1555 LONG POND RD, ROCHESTER, NY 14626-4122
(585) 723-7870
(585) 723-7871
Mailing address
1555 LONG POND RD, ROCHESTER, NY 14626-4122
(585) 723-7870
(585) 723-7871

Taxonomy

Speciality
Code
Description
License number
State
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
160634-1
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02308987
NY
Enumeration date
06/01/2005
Last updated
05/07/2021
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