Most Relevant Information
Provider Data
| NPI Number: | 1003010331 |
| Provider Name: | ELEANOR BRADLEY CRNA |
| Entity Type: | Individual |
| Taxonomy Code: | 163W00000X |
| Specialty: | Registered Nurse |
| License Number: | 185526 |
Most Important Dates
| Enumeration Date: | 06/12/2007 |
| Last Updated: | 07/08/2007 |
Provider Practice Location
525 E 68TH ST
NEW YORK
NY
100214870
Practice Location Phone/Fax
| Phone: | 2127462846 |
| Fax: |
Provider Mailing Location
525 E 68TH ST
NEW YORK
NY
100214870
Provider Mailing Phone/Fax
| Phone: | 2127462846 |
| Fax: |