National Provider Identifier
Bradley Robert Bakal
Bradley Robert Bakal is listed in the NPPES registry with a primary specialty of Pediatric Physical Therapist in Youngstown, NY and a listed phone number of (716) 471-3822.
Profile Overview
- NPI
- 1699257964
- Provider Type
- Individual
- Primary Specialty
- Pediatric Physical Therapist
- Enumeration Date
- September 04, 2018
- Last Updated
- September 04, 2018
Practice Location
- 4061 Creek RD
- Youngstown, NY 14174-9609
Phone: (716) 471-3822
Mailing Address
- 304 Woodland Dr
- Newark Valley, NY 13811-4908
Specialties
- Pediatric Physical Therapist (2251P0200X)
Full Record
- NPI
- 1699257964
- Entity Type
- Individual
- Last Name
- Bakal
- First Name
- Bradley
- Middle Name
- Robert
- Mailing Street Address
- 304 Woodland Dr
- Mailing City
- Newark Valley
- Mailing State
- NY
- Mailing ZIP Code
- 13811-4908
- Mailing Country
- US
- Mailing Phone
- (607) 240-6564
- Practice Street Address
- 4061 Creek RD
- Practice City
- Youngstown
- Practice State
- NY
- Practice ZIP Code
- 14174-9609
- Practice Country
- US
- Practice Phone
- (716) 471-3822
- Enumeration Date
- September 04, 2018
- Last Updated
- September 04, 2018
- Sex
- Male
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Pediatric Physical Therapist (2251P0200X)