Organization
GIOMBETTI & BRADY PEDIATRICS PLLC
Active
Other names
GIOMBETTI AND BRADY PEDIATRICS
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KATHLEEN BRADY MD (CO-OWNER)
(518) 439-5611
Entity
Organization
Contact information
Practice address
208 DELAWARE AVE, DELMAR, NY 12054-1221
(518) 439-5611
(518) 439-9576
Mailing address
208 DELAWARE AVE, DELMAR, NY 12054-1221
(518) 439-5611
(518) 439-9576
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2698631
GHI
NY
01
—
9367
CDPHP
NY
Enumeration date
06/09/2008
Last updated
06/09/2008
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