Individual provider · Type 1 NPI
Bertina Bradshaw
Substance Use Disorder Rehabilitation Clinic/Center · Elmira, NY
NPI number
1043593809
Active
Practice location
571 St. Joseph's Blvd., Suite 102
Elmira, NY 14901-3230
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Substance Use Disorder Rehabilitation Clinic/Center Primary | 261QR0405X | 161039939 (NY) |
Substance Use Disorder Rehabilitation Clinic/Center: Definition to come...
2 other providers at this address
About NPI 1043593809
Bertina Bradshaw's National Provider Identifier is 1043593809, issued on Sep 27, 2011. The primary taxonomy on file is Substance Use Disorder Rehabilitation Clinic/Center (261QR0405X), and the practice location is in Elmira, NY. The record was last updated on Sep 27, 2011.