Individual
BRADLEY TEOH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
49 ELLSWORTH AVE, STATEN ISLAND, NY 10312-2501
(917) 353-0431
Mailing address
49 ELLSWORTH AVE, STATEN ISLAND, NY 10312-2501
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
059746
NY
Other
Enumeration date
08/15/2014
Last updated
08/15/2014
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