Provider Demographics
NPI:1548478613
Name:BRADY, CHRISTINA MARIA (NP)
Entity type:Individual
Prefix:MS
First Name:CHRISTINA
Middle Name:MARIA
Last Name:BRADY
Suffix:
Gender:F
Credentials:NP
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Other - Credentials:
Mailing Address - Street 1:409 NEW KARNER RD
Mailing Address - Street 2:SUITE 103
Mailing Address - City:ALBANY
Mailing Address - State:NY
Mailing Address - Zip Code:12205-3883
Mailing Address - Country:US
Mailing Address - Phone:518-265-6517
Mailing Address - Fax:518-456-3689
Practice Address - Street 1:409 NEW KARNER RD
Practice Address - Street 2:SUITE 103
Practice Address - City:ALBANY
Practice Address - State:NY
Practice Address - Zip Code:12205-3883
Practice Address - Country:US
Practice Address - Phone:518-265-6517
Practice Address - Fax:518-456-3689
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-20
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY400992363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health