Individual
DR. NICHOLAS A. RADETZKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
3582 BROADWAY, NEW YORK, NY 10031-3201
(212) 234-2020
(212) 234-4609
Mailing address
3582 BROADWAY, NEW YORK, NY 10031-3201
(212) 234-2020
(212) 234-4609
Taxonomy
Speciality
Code
Description
License number
State
152WC0802X
Corneal and Contact Management Optometrist
Primary
4372
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01033870
—
NY
Enumeration date
01/18/2006
Last updated
01/22/2020
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