Whalio Doctors

NPI 1306350574

Seronica Renee Bradley, LPN

Practitioner Licensed Vocational Nurse South Ozone Park, NY

Practice location

Address
11440 van Wyck Expy, South Ozone Park, NY 11420-2229
Phone
(718) 322-3455
Fax
(718) 848-4152

Registered specialties

Licensed Vocational Nurse Primary
Nursing Service Providers Taxonomy 164X00000X Licence 308639-1 (NY)

Registry record

NPI
1306350574
Entity type
Individual
Sex (as registered)
Female
NPI issued
27 Nov 2017
Record last updated
27 Nov 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.