Individual
DR. JOAN M. RADJIESKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
55 E 124TH ST, NEW YORK, NY 10035-1815
(212) 410-8484
(212) 410-8485
Mailing address
230 W 125TH ST, NEW YORK, NY 10027-4402
(646) 981-4540
(212) 678-1784
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
242746
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1619004157
OCC NPI
CA
05
—
64081193
—
KY
Enumeration date
12/04/2007
Last updated
12/04/2007
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