Individual
STEPHANY BRADLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
52 CORPORATE CIR STE 214, ALBANY, NY 12203-5176
(518) 456-3268
Mailing address
52 CORPORATE CIR STE 214, ALBANY, NY 12203-5176
(518) 456-3268
Taxonomy
Speciality
Code
Description
License number
State
246Z00000X
Other Specialist/Technologist
Primary
2827916
NY
Other
Enumeration date
08/03/2021
Last updated
08/03/2021
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