Individual
DR. EDWARD JAMES RADIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
101 DATES DR, ITHACA, NY 14850-1342
(607) 274-4011
(607) 274-4132
Mailing address
535 DEAN CREEK RD, LOCKWOOD, NY 14859-9742
(607) 589-4718
Taxonomy
Speciality
Code
Description
License number
State
204C00000X
Sports Medicine (Neuromusculoskeletal Medicine) Physician
Primary
157674-1
NY
Other
Enumeration date
07/10/2006
Last updated
07/08/2007
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