RICHMOND BRADSHAW

STATEN ISLAND, NY
NPI1356104806
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NY  37015)
Enumeration Date2024-02-06
Last Update Date2024-02-06
Business Address
Mr. RICHMOND BRADSHAW
273 HEBERTON AVE
STATEN ISLAND, NY 10302-1809
Phone number: 718-412-3170
Mailing Address
Mr. RICHMOND BRADSHAW
273 HEBERTON AVE
STATEN ISLAND, NY 10302-1809
Phone number: 718-412-3170