Individual
DR. JEFFREY NORMAN BRADSHAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
132 W 96TH ST, NEW YORK, NY 10025-6418
(212) 662-7790
(212) 662-3142
Mailing address
132 W 96TH ST, NEW YORK, NY 10025-6418
(212) 662-7790
(212) 662-3142
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
127851
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00471009
—
NY
Enumeration date
12/26/2006
Last updated
07/08/2007
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