Individual
STACEY RADINSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2209 MERRICK RD STE 202, MERRICK, NY 11566-4770
(516) 771-4800
Mailing address
2209 MERRICK RD STE 202, MERRICK, NY 11566-4770
(516) 771-4800
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
220381
NY
Other
Enumeration date
05/18/2006
Last updated
11/03/2020
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