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

Gennel Tanisha Bradley, MSED

Individual provider Specialist · NPI 1912409608

Gennel Tanisha Bradley, MSED is a Specialist in Freeport, New York. Licensed in New York. Registered with an NPI since 2018.

Licensed in
NY
In the registry since
2018
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Practice location Address checks out

8 Wilshire Ct
Freeport, NY 11520-6233
Phone: (516) 749-3851
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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 number1912409608
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSED
Sole proprietorNo
NPI enumeratedMarch 8, 2018
Last updated in NPPESMarch 8, 2018

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