Organization
BRADLEY A. CONNOR, MD, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRADLEY A. CONNOR M.D. (OWNER)
(212) 988-2800
Entity
Organization
Contact information
Practice address
50 E 69TH ST, NEW YORK, NY 10021-5016
(212) 988-2800
(212) 988-5340
Mailing address
50 E 69TH ST, NEW YORK, NY 10021-5016
(212) 988-2800
(212) 988-5340
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
149337
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
WAW851
MEDICARE GROUP PROVIDER
—
Enumeration date
09/04/2007
Last updated
09/04/2007
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