Individual
KENNETH RADNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
B.SC., C.P.O.
Contact information
Practice address
2094 FRONT ST, EAST MEADOW, NY 11554-1709
(516) 357-9113
(516) 357-9186
Mailing address
97 CORNELL DR, SMITHTOWN, NY 11787-3022
(631) 543-1414
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
Primary
—
NY
224P00000X
Prosthetist
—
NY
Other
Enumeration date
12/31/2009
Last updated
01/30/2014
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