Bradley Guidry
Student in an Organized Health Care Education/Training Program in Brooklyn, NY. Individual provider (NPI-1).
NPI number1033869748
StatusActive
Last updated in NPPESMar 25, 2022
Details
- NPI
- 1033869748
- Entity type
- Individual (NPI-1)
- Name
- Bradley Guidry
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Mar 25, 2022
- Certification date
- Mar 25, 2022
- Last updated
- Mar 25, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
Practice location
4802 10th AveBrooklyn, NY 11219-2916
Phone 718-283-6000
Mailing address
4802 10th AveBrooklyn, NY 11219-2916
Phone 718-283-6000
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