IndividualActive
Bertina Bradshaw
NPI 1043593809 · Substance Use Disorder Rehabilitation Clinic/Center · Elmira, NY
Provider details
- NPI number
- 1043593809
- Entity type
- Individual
- Primary specialty
- Substance Use Disorder Rehabilitation Clinic/CenterAmbulatory Health Care Facilities
- Sex
- Female
- Sole proprietor
- Yes
- License
- 161039939 (NY)
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
571 St. Joseph'S Blvd.
Suite 102
Elmira, NY 14901-3230
Phone: (607) 737-5215
Approximate (ZIP-level) locationGet directions
Mailing address
571 St. Joseph'S Blvd.
Elmira, NY 14901-3230
Registry dates
- Enumerated
- 2011-09-27
- Last updated
- 2011-09-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.