Bradley Kooma

NPI 1932967478 · on the registry since 2024

Practice

Address: 350 Jericho Tpke Ste 103
Jericho, NY 11753
Phone: (516) 399-5373
Organisation at this address: Long Island Lcsws Pllc
Evolve Plastic Surgery Pllc
Shore Medical Treatment Pllc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 23

Registry record

Primary taxonomy: 101YM0800X
101YM0800X
Licence states on file: NY
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2025-05-27

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York