Individual provider · Type 1 NPI

Gennel Tanisha Bradley, MS ED

Specialist · Freeport, NY

NPI number 1912409608 Active

Practice location

8 Wilshire Ct
Freeport, NY 11520-6233

Call (516) 749-3851 Map

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XNone listed

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1912409608

Gennel Tanisha Bradley, MS ED's National Provider Identifier is 1912409608, issued on Mar 8, 2018. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Freeport, NY. The record was last updated on Mar 8, 2018.