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GENELL LORENCIA BRADLEY
NPI 1790030930
Specialist in Freeport, NY

Active since July 13, 2012
111 WOODSIDE AVE, FREEPORT, NY 11520(516) 425-4853 Get Directions Write a Review

NPPES record last updated: July 13, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Genell Lorencia Bradley NPPES

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

GENELL LORENCIA BRADLEY (NPI 1790030930) is an individual specialist in Freeport, New York and active in the NPI registry since July 2012.

NPPES Registry Identity

NPI1790030930
Entity TypeIndividualFemale
Primary Taxonomy174400000X
Provider Legal NameGENELL LORENCIA BRADLEY
Location Address111 WOODSIDE AVEFreeport, NY 11520-1236
Mailing Address111 Woodside AveFreeport, NY 11520-1236 · (516) 425-4853
Phone(516) 425-4853
Sole ProprietorYes
Enumeration DateJuly 13, 2012
✔ NPI 1790030930 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.
111 WOODSIDE AVE, Freeport, NY 11520
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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 Genell Bradley's NPI number?

The NPI number for Genell Bradley is 1790030930. It was assigned to this individual provider in the NPPES registry on July 13, 2012.

Where is Genell Bradley located?

Genell Bradley practices at 111 Woodside Ave, Freeport, NY 11520. The listed phone number is (516) 425-4853.

What is Genell 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 Genell Bradley was last updated on July 13, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.