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Individual

FRANCES A. BRADY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
4295 HEMPSTEAD TPKE, BETHPAGE, NY 11714-5713
(516) 520-2745
Mailing address
4724 NESCONSET HWY, PORT JEFFERSON STATION, NY 11776-2580
(631) 474-5900

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
F331920
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02087098
NY
01
95N372
BLUECROSS BLUESHIELD
NY
Enumeration date
12/28/2005
Last updated
10/09/2015
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