Individual
MARK A BRADY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.A., N.B.C.T.
Contact information
Practice address
418 W 47TH ST, #4FW, NEW YORK, NY 10036-2395
(646) 469-1679
Mailing address
418 W. 47TH STREET, #4FW, NEW YORK, NY 10036-2300
(646) 469-1679
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
—
—
Other
Enumeration date
12/21/2011
Last updated
12/21/2011
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