MR. LEROY F BRADFORD PTA NPI 1730245895

NPI Information

NPI: 1730245895
Provider Name: MR. LEROY F BRADFORD, PTA
Classification: Day Training/Habilitation Specialist - 373H00000X
Entity Type: Individual
Address:
50 SHEFFIELD AVE
BROOKLYN, NY
ZIP 11207
Phone: (718) 345-2273
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MR. Leroy F Bradford, PTA is a day training habilitation specialist in Brooklyn, NY. The provider is individuals experienced or trained in working with developmentally disabled individuals who need assistance in acquiring and maintaining life skills that enable them to cope more effectively with the demands of independent living. MR. Leroy F Bradford, PTA NPI is 1730245895. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

50 SHEFFIELD AVE
BROOKLYN, NY
ZIP 11207-420
Phone: (718) 345-2273

The enumeration date for this NPI number is 12/30/2006 and was last updated on 7/9/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	373H00000X	Day Training/Habilitation Specialist		003790-1	NEW YORK	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	003790-1	MEDICARE UPIN	NEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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