Theresa Brady LPN

NPI 1023277225 - Licensed Practical Nurse - 164W00000X

NPI Details
NPI 1023277225
Gender Female
Enumeration Date 06/03/2008
Last Updated 06/03/2008
Entity Type Individual
Active Over 9 years ago
Practice Location
17914 ANDERSON RD
JAMAICA NY, 11434-3404, US
Phone (718) 775-5424
Fax
Business Location
17914 ANDERSON RD
JAMAICA NY, 11434-3404, US
Phone (718) 775-5424
Fax
Toxanomy
Taxonomy Code 164W00000X
License State New York
License Number 282517
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According to our database, Ms. Theresa Brady LPN NPI is 1023277225, taxonomy code is 164W00000X and license number is 282517, license state is located at New York. Theresa Brady LPN physically located at 17914 Anderson Rd, Jamaica NY, 11434-3404. NPI Number Theresa Brady LPN has the Individual type.

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1023277225 NPI number is provided on an as is basis without warranty of any kind. 1023277225 is maintained by the National Plan & Provider Enumeration System. The contents of Theresa Brady LPN are for informational purposes only.