Individual
BRADLEY TUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
10504 SUTPHIN BLVD, JAMAICA, NY 11435-5022
(844) 400-1975
Mailing address
10504 SUTPHIN BLVD, JAMAICA, NY 11435-5022
(844) 400-1975
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
112677
NY
Other
Enumeration date
03/10/2026
Last updated
03/10/2026
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