Bertina Bradshaw

NPI #1043593809 in Elmira, New York

Provider Information

NPI Number
1043593809
Entity Type
Individual
Name
Bertina Bradshaw
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Clinic/Center - Rehabilitation, Substance Use Disorder
Enumeration Date
Sep 27, 2011
Last Updated
Sep 27, 2011

Practice Location

Address
571 ST. JOSEPH'S BLVD.
Address 2
SUITE 102
City
Elmira
ZIP Code
14901-3230
Phone
(607) 737-5215

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Rehabilitation, Substance Use DisorderRehabilitation, Substance Use Disorder

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