Individual
AMANDA BRADT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SPECIALIST
Contact information
Practice address
40 HENRIETTA BLVD, AMSTERDAM, NY 12010-1111
(518) 843-3003
Mailing address
40 HENRIETTA BLVD, AMSTERDAM, NY 12010-1111
(518) 843-3003
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
09/25/2012
Last updated
07/25/2013
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