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

Mr. Richmond Bradshaw Jr.

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1356104806

Mr. Richmond Bradshaw Jr. is an Addiction (Substance Use Disorder) Counselor in Staten Island, New York. Licensed in New York. Registered with an NPI since 2024.

Licensed in
NY
In the registry since
2024

Practice location Address checks out

273 Heberton Ave
Staten Island, NY 10302-1809
Phone: (718) 412-3170
Show map & directions

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

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence 37015 (NY)

Record details

NPI number1356104806
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedFebruary 6, 2024
Last updated in NPPESFebruary 6, 2024
Certification dateFebruary 6, 2024

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