Individual
DANIEL RADECKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
30 HEMPSTEAD AVE, ROCKVILLE CENTRE, NY 11570-4033
(516) 764-6161
Mailing address
30 HEMPSTEAD AVE, ROCKVILLE CENTRE, NY 11570-4033
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
053949
NY
Other
Enumeration date
03/06/2010
Last updated
03/06/2010
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