Individual
CLAUDIA RADIST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1660 E 14TH ST, STE 401, BROOKLYN, NY 11229-1170
(718) 382-8500
(718) 382-4648
Mailing address
1660 E 14TH ST, STE 401, BROOKLYN, NY 11229-1170
(718) 382-8500
(718) 382-4648
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
004236
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
004236
DEPT OF ED
NY
Enumeration date
08/30/2006
Last updated
03/07/2023
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