Individual
CHRISTOPHER BRIAN BRADSHAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
304 W WILLIAMS ST, WATERLOO, NY 13165-1331
(607) 329-4800
Mailing address
304 W WILLIAMS ST, WATERLOO, NY 13165-1331
(607) 329-4800
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
585950
NY
Other
Enumeration date
07/03/2013
Last updated
07/03/2013
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