BRADLEY D ATLAS

Dr BRADLEY D ATLAS is a male medical professional, specializing in Psychologist, Clinical. He graduated in 1993.

Contact

31 MERRICK AVE
SUITE 110
MERRICK
NY
115663406

Tel: 5163750784

BRADLEY D ATLAS Information

Npi 1568562080
Pac Id 7012168230
Professional Enrollment Id I20121117000074
Last Name ATLAS
First Name BRADLEY
Middle Name D
Suffix
Gender M
Credential
Medical School Name OTHER
Graduation Year 1993
Primary Specialty PSYCHOLOGIST, CLINICAL
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name
Group Practice Pac Id
Number Of Group Practice Members
Line 1 Street Address 31 MERRICK AVE
Line 2 Street Address SUITE 110
Marker Of Address Line 2 Suppression
City MERRICK
State NY
Zip Code 115663406
Phone Number 5163750784
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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