Individual
BRADLEY ALAN SPETA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ANP
Contact information
Practice address
12 MARTIN ST, WELLSVILLE, NY 14895-1057
(585) 593-7460
(585) 593-7474
Mailing address
12 MARTIN ST, WELLSVILLE, NY 14895-1057
(585) 593-7460
(585) 593-7474
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F305382-1
NY
Other
Enumeration date
06/08/2010
Last updated
12/30/2011
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