LAVORA DAWN BRADLEY (NPI# 1497365977) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497365977 |
| Entity Type | Individual |
| Full Name | LAVORA DAWN BRADLEY |
| Practice Address |
1305 Maple Ave Elmira NY 14904-3045 |
| Practice Telephone | 6072592800 |
| Mailing Telephone | 6072592800 |
| Enumeration Date | 2020-08-09 |
| Last Update Date | 2020-08-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251V00000X | Voluntary or Charitable | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | ID | 15433672 | 01 |
| Street Address |
1305 MAPLE AVE |
| City | ELMIRA |
| State | NY |
| Zip Code | 14904-3045 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780150987 | Amanda Denicola | Physician Assistant | 138 Broadway Street, Elmira, NY 14904 | 2018-10-16 |
| 1649501743 | Rose Marie Horch | Licensed Practical Nurse | 1198 Maple Ave., C-7, Elmira, NY 14904 | 2010-01-29 |
| 1831164987 | Richard B Dunn | Dentist | 1007 Broadway, Elmira, NY 14904 | 2006-02-22 |
| 1407358989 | Sara Goodwin | Counselor | 310 Pennsylvania Ave, Elmira, NY 14904 | 2018-03-01 |
| 1841378965 | Richard B Dunn Dds PC | Dentist | 1007 Broadway, Elmira, NY 14904 | 2006-11-02 |
| 1649358771 | Prakash Thuraisamy | Dentist | 1007 Broadway, Elmira, NY 14904 | 2006-11-02 |
| 1205057270 | Gregory Schutrum | Pharmacist | 209 Mount Zoar St, Elmira, NY 14904-1231 | 2007-05-01 |
| 1861591109 | Eckerd Corporation | Durable Medical Equipment & Medical Supplies | 209 Mount Zoar Street, Elmira, NY 14904-1231 | 2006-09-22 |
| 1760963557 | Caleb Mccaig | Pharmacist | 209 Mount Zoar St, Elmira, NY 14904-1231 | 2018-08-28 |
| 1497936157 | Mary Volino | Pharmacist | 209 Mount Zoar St, Elmira, NY 14904-1231 | 2007-11-21 |
| Find all providers in zip 14904 | ||||
| Taxonomy Code | 251V00000X |
| Grouping | Agencies |
| Classification | Voluntary or Charitable |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003092115 | Glove House, Inc. | Voluntary or Charitable | 220 Franklin St, Elmira, NY 14904-1706 | 2008-01-18 |
| 1437320173 | Glove House, Inc | Voluntary or Charitable | 220 Franklin St, Elmira, NY 14904-1706 | 2008-03-21 |
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| 1962014191 | Wave Usa Inc. | Voluntary or Charitable | 316 E 149th St Ste 11, Bronx, NY 10451-5602 | 2020-08-19 |
| 1164049078 | Christopher Rose Community Empowerment Campaign | Voluntary or Charitable | 1404 Brooklyn Ave, Brooklyn, NY 11210 | 2020-06-26 |
| 1750905865 | Reaching Across The World Ministries Inc. | Voluntary or Charitable | 54 Boerum St Apt 9a, Brooklyn, NY 11206-2423 | 2020-06-04 |
| 1790255982 | Women On The Rise for God Ministries, Inc | Voluntary or Charitable | 10941 Francis Lewis Blvd Fl 2, Queens Village, NY 11429-1403 | 2018-11-29 |
| 1073037586 | Orange County Innovators | Voluntary or Charitable | 1717 Route 17m, Goshen, NY 10924-2526 | 2017-07-27 |
| 1174059471 | Wings of A Dove Foundation | Voluntary or Charitable | 2070 E 57th St, 2 Nd Floor, Brooklyn, NY 11234-4702 | 2017-05-05 |
| 1306379706 | Jqy, Inc. | Voluntary or Charitable | 1460 Broadway, Office Number 9015, New York, NY 10036-7329 | 2017-04-04 |
| 1437690443 | Rockland Community Services | Voluntary or Charitable | 16 King Arthur Ct, New City, NY 10956-6352 | 2017-03-10 |
| 1366993552 | Daniels Dynasty, Inc. | Voluntary or Charitable | 151 W 123rd St, Apt 1c, New York, NY 10027-5519 | 2016-10-22 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.