NPI

Genell Lorencia Bradley

This page is a copy of the public NPPES file.

Facts

Status
Active
Type
Individual
Enumeration date
2012-07-13
Last updated
2012-07-13

Specialties

Licenses

License NY
Number not in the file

Location

Practice location
111 Woodside Ave
City
Freeport NY
Postal code
11520-1236
Phone
(516) 425-4853

Medicare

PECOS
No PECOS enrollment row matched this NPI.

LEIE

No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. OIG's online search is the official check.

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Nearby

Other NPIs in Freeport, NY. 912 records in the public file.

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