National Provider Identifier

Melissa J Bradley, SPECIAL EDUCATOR B-2

Melissa J Bradley, SPECIAL EDUCATOR B-2 is listed in the NPPES registry with a primary specialty of Specialist in Williamsville, NY and a listed phone number of (516) 317-4991.

NPI 1831957737Williamsville, NYSpecialist

Profile Overview

NPI
1831957737
Provider Type
Individual
Primary Specialty
Specialist
Enumeration Date
March 06, 2024
Last Updated
March 06, 2024

Practice Location

  • 234 Surrey Run
  • Williamsville, NY 14221-3364

Phone: (516) 317-4991

Specialties

  • Specialist (174400000X)
Full Record
NPI
1831957737
Entity Type
Individual
Last Name
Bradley
First Name
Melissa
Middle Name
J
Credential
SPECIAL EDUCATOR B-2
Provider Other Last Name
Urban
Provider Other First Name
Melissa
Provider Other Middle Name
J
Provider Other Last Name Type Code
1
Mailing Street Address
234 Surrey Run
Mailing City
Williamsville
Mailing State
NY
Mailing ZIP Code
14221-3364
Mailing Country
US
Mailing Phone
(516) 317-4991
Practice Street Address
234 Surrey Run
Practice City
Williamsville
Practice State
NY
Practice ZIP Code
14221-3364
Practice Country
US
Practice Phone
(516) 317-4991
Enumeration Date
March 06, 2024
Last Updated
March 06, 2024
Sex
Female
Sole Proprietor
Yes
Certification Date
March 06, 2024
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Specialist (174400000X)