NPI 1699246728

Bradley Wayne Anthony, BOCPO

Practitioner Orthotist Westbury, NY

Practice location

Address: 813 Carman Ave Unit a, Westbury, NY 11590-6447
Phone: (516) 333-7200
Fax: (516) 333-7277
Mailing address: 19 Hope Ln, Hicksville, NY 11801-6110

Registered specialties (2)

Orthotist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 222Z00000X

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Prosthetist

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224P00000X

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Registry record

NPI: 1699246728
Entity type: Individual
Sex (as registered): Male
NPI issued: 16 Dec 2018
Record last updated: 16 Dec 2018

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.