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

Genell Lorencia Bradley

Individual provider Specialist · NPI 1790030930

Genell Lorencia Bradley is a Specialist in Freeport, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2012
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Practice location Address checks out

111 Woodside Ave
Freeport, NY 11520-1236
Phone: (516) 425-4853
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X (NY)

Record details

NPI number1790030930
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJuly 13, 2012
Last updated in NPPESJuly 13, 2012
Mailing address111 Woodside Ave, Freeport, NY 11520-1236

Other providers in Freeport