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MICHELLE BRADLEY
NPI 1114348646
Specialist in Staten Island, NY

Active since December 31, 2013
167 RAMONA AVE, STATEN ISLAND, NY 10312(347) 838-6951 Get Directions Write a Review

NPPES record last updated: December 31, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Michelle Bradley NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MICHELLE BRADLEY (NPI 1114348646) is an individual specialist in Staten Island, New York and active in the NPI registry since December 2013.

NPPES Registry Identity

NPI1114348646
Entity TypeIndividualFemale
Primary Taxonomy174400000X
Provider Legal NameMICHELLE BRADLEY
Location Address167 RAMONA AVEStaten Island, NY 10312-2716
Mailing Address167 Ramona AveStaten Island, NY 10312-2716 · (347) 838-6951
Phone(347) 838-6951
Sole ProprietorYes
Enumeration DateDecember 31, 2013
✔ NPI 1114348646 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
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.
167 RAMONA AVE, Staten Island, NY 10312
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Other Identifiers 1

Medicaid103600462NY

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Michelle Bradley's NPI number?

The NPI number for Michelle Bradley is 1114348646. It was assigned to this individual provider in the NPPES registry on December 31, 2013.

Where is Michelle Bradley located?

Michelle Bradley practices at 167 Ramona Ave, Staten Island, NY 10312. The listed phone number is (347) 838-6951.

What is Michelle Bradley's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Michelle Bradley was last updated on December 31, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.