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Contact Information

JAMES P BRADLEY, MD
1991 MARCUS AVE STE 102
NEW HYDE PARK, NY11042-2062
 Phone: 516-497-7912
 Fax: 516-497-7928
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Plastic and Reconstructive Surgery

2086S0122X 02 Physician/General Surgery
 

Oral & Maxillofacial Surgery

204E00000X 02 Physician/General Surgery
 

Plastic Surgery Within the Head and Neck

2082S0099X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for JAMES P BRADLEY · (Male)

NPI Number 1144257825
Status Active
Credentials MD
Entity Individual
Enumeration date 06/27/2006
Last updated 05/02/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • CA License # G85144
  • NY License # 206876-1
  • PA License # MD050602L
  • CA Medicaid 00G851440
Hospital affiliation(s)
  • LONG ISLAND JEWISH MEDICAL CENTER - (Acute Care)
    270 - 05 76TH AVENUE
    NEW HYDE PARK, NY 11040
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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