Individual provider · Type 1 NPI

Mariellen M. Lane Bradley

Pediatrics Physician · New York, NY

NPI number 1851364111 Active

Practice location

3959 Broadway
New York, NY 10032-1559

Fax (212) 544-1974

Mailing address

27 W 96th St
New York, NY 10025-6613

Specialties and licenses

TaxonomyCodeLicense
Pediatrics Physician Primary 208000000X178354 (NY)

Pediatrics Physician: A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on de…

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About NPI 1851364111

Mariellen M. Lane Bradley's National Provider Identifier is 1851364111, issued on Feb 8, 2006. The primary taxonomy on file is Pediatrics Physician (208000000X), and the practice location is in New York, NY. The record was last updated on Oct 4, 2021.