Individual
DR. BRADLEY ARDEN RADWANER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
136 E. 57TH ST., SUITE 1001, NEW YORK, NY 10022
(212) 717-0666
(212) 717-2399
Mailing address
136 E. 57TH ST., SUITE 1001, NEW YORK, NY 10022
(212) 717-0666
(212) 717-2399
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
150577
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00896117
—
NY
01
—
BR078A9110
BCBS
NY
Enumeration date
10/11/2006
Last updated
10/23/2014
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