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NPI Code Detail

MEDICARE: MS. ROBIN H BRADLEY CNM

MEDICARE: MS. ROBIN H BRADLEY CNM
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
1367A00000XAdvanced Practice MidwifeF000403NY

Other Identifiers

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

General Provider Information

NPI Number : 1487645784
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. ROBIN H BRADLEY CNM
Provider Business Mailing Address
First Line : 1241 MAMARONECK AVE
Second Line :
City : WHITE PLAINS
State : NY
Zip : 10605-5201
Country : US
Telephone Number : 914-421-1500
Fax Number : 914-421-1501
Provider Business Practice Location Address
First Line : 1241 MAMARONECK AVE
Second Line :
City : WHITE PLAINS
State : NY
Zip : 10605-5201
Country : US
Telephone Number : 914-421-1500
Fax Number : 914-421-1501
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/04/2005
Last Update Date : 09/12/2011

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