Individual
BONNIE R BRADDOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.P.H.
Contact information
Practice address
750 E ADAMS ST, ROOM 5622B, SYRACUSE, NY 13210-2306
(315) 464-7610
(315) 464-6329
Mailing address
4842 PEMBROKE DR, MANLIUS, NY 13104-2115
(315) 682-0932
Taxonomy
Speciality
Code
Description
License number
State
170300000X
Genetic Counselor (M.S.)
Primary
—
—
Other
Enumeration date
09/15/2006
Last updated
07/08/2007
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