Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Bertina Bradshaw

Individual provider Substance Use Disorder Rehabilitation Clinic/Center · NPI 1043593809

Bertina Bradshaw is a Substance Use Disorder Rehabilitation Clinic/Center in Elmira, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2011

Practice location Address checks out

571 St Joseph's Blvd Ste 102
Elmira, NY 14901-3230
Phone: (607) 737-5215
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Substance Use Disorder Rehabilitation Clinic/Center (primary) Taxonomy 261QR0405X · Licence 161039939 (NY)

Record details

NPI number1043593809
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedSeptember 27, 2011
Last updated in NPPESSeptember 27, 2011

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