Individual
DEBORAH RADFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9425 60TH AVE, ELMHURST, NY 11373-5069
(404) 558-2852
Mailing address
9425 60TH AVE, ELMHURST, NY 11373-5069
(404) 558-2852
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
020020
NY
Other
Enumeration date
08/16/2016
Last updated
02/13/2017
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