Leroy F Bradford, PTA
Day Training/Habilitation Specialist in Brooklyn, NY. Individual provider (NPI-1).
NPI number1730245895
StatusActive
Last updated in NPPESJul 9, 2007
Details
- NPI
- 1730245895
- Entity type
- Individual (NPI-1)
- Name
- Mr. Leroy F Bradford
- Credential
- PTA
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Dec 30, 2006
- Last updated
- Jul 9, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 373H00000X | Day Training/Habilitation Specialist | 003790-1 | NY | Yes |
Practice location
50 Sheffield AveBrooklyn, NY 11207-2420
Phone 718-345-2273
Mailing address
78 Macdougal StBrooklyn, NY 11233-2608
Phone 718-773-5877
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