Individual
DR. JENNIFER L RADI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
900 ELMGROVE RD, ROCHESTER, NY 14624-6236
(585) 426-4100
(585) 426-3701
Mailing address
900 ELMGROVE RD, ROCHESTER, NY 14624-6236
(585) 426-4100
(585) 426-3701
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
256231
NY
208000000X
Pediatrics Physician
34.009243
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03229605
—
NY
Enumeration date
04/18/2007
Last updated
11/19/2019
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