Individual
BRADLEY L WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
30 MERRICK AVE, SUITE 100, EAST MEADOW, NY 11554-1580
(516) 794-7010
(516) 794-7074
Mailing address
30 MERRICK AVE, SUITE 100, EAST MEADOW, NY 11554-1580
(516) 794-7010
(516) 794-7074
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
157127
NY
Other
Enumeration date
09/26/2005
Last updated
04/24/2012
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