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1568562080
BRADLEY DALE ATLAS
MERRICK, NY
NPI
1568562080
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: NY 012070-1)
Enumeration Date
2006-09-24
Last Update Date
2007-07-08
Business Address
Dr. BRADLEY DALE ATLAS Ph. D.
31 MERRICK AVE SUITE 110
MERRICK, NY 11566-3477
Phone number: 516-375-0784
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Mailing Address
Dr. BRADLEY DALE ATLAS Ph. D.
2554 SOUTHARD AVE
OCEANSIDE, NY 11572-1527
Phone number:
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