John Andrew Bradshaw, MD
Pediatrics in Ithaca, NY. Individual provider (NPI-1).
NPI number1124000518
StatusActive
Last updated in NPPESSep 21, 2012
Details
- NPI
- 1124000518
- Entity type
- Individual (NPI-1)
- Name
- John Andrew Bradshaw
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Nov 19, 2005
- Last updated
- Sep 21, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208000000X | Pediatrics | 216716 | NY | Yes |
| 2080P0208X | Pediatrics, Pediatric Infectious Diseases | 216716 | NY |
Practice location
10 Graham Rd WIthaca, NY 14850-1055
Phone 607-257-2188 · Fax 607-266-7341
Mailing address
10 Graham Rd WIthaca, NY 14850-1055
Phone 607-257-2188 · Fax 607-266-7341
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