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NPI Code Detail

MEDICARE: FRANCES A. BRADY NP

MEDICARE: FRANCES A. BRADY NP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363L00000XNurse PractitionerF331920NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
295N372OTHERNYBLUECROSS BLUESHIELD

General Provider Information

NPI Number : 1700863032
Entity Type Code : Individual
Provider Name (Legal Business Name) : FRANCES A. BRADY NP
Provider Business Mailing Address
First Line : 4724 NESCONSET HWY
Second Line :
City : PORT JEFFERSON STATION
State : NY
Zip : 11776-2580
Country : US
Telephone Number : 631-474-5900
Fax Number :
Provider Business Practice Location Address
First Line : 4295 HEMPSTEAD TPKE
Second Line :
City : BETHPAGE
State : NY
Zip : 11714-5713
Country : US
Telephone Number : 516-520-2745
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/28/2005
Last Update Date : 10/09/2015

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