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Organization
BRUCE L. RADLER, D.P.M.,P.C.
Active
Organization
BRUCE L. RADLER, D.P.M.,P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRUCE LOUIS RADLER D.P.M. (PRESIDENT)
(718) 236-2821
Entity
Organization
Contact information
Practice address
6416 17TH AVE, BROOKLYN, NY 11204-2739
(718) 236-2821
(718) 236-1167
Mailing address
6416 17TH AVE, BROOKLYN, NY 11204-2739
(718) 236-2821
(718) 236-1167
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
N002355
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00413314
—
NY
01
—
0058524
GHI
NY
01
—
05741
MEDICARE GHI
NY
01
—
38810
ELDERPLAN HMO
NY
01
—
N0023551
HIP
NY
Enumeration date
12/13/2006
Last updated
06/02/2008
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