Dr. Bruce Louis Radler
Primary Podiatric Medicine
6416 17th Ave
Brooklyn
, New York 11204-2739
Dr. Bruce Louis Radler
Primary Podiatric Medicine
6416 17th Ave
Brooklyn
, New York 11204-2739
(718) 236-1167
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About
Features
Specialties
- Primary Podiatric Medicine
Languages spoken
- English
Location
First Address
- Dr. Bruce Louis Radler
- 6416 17th Ave
- Brooklyn, NY
- Zip : 11204-2739
- Fax : (718) 236-1167
- Phone : (718) 236-2821
Second Address
- Dr. Bruce Louis Radler
- 6416 17th Ave
- Brooklyn, NY
- Zip : 11204-2739
- Fax : (718) 236-1167
- Phone : (718) 236-2821
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 213EP1101X | Primary Podiatric Medicine | N0023551 | NY |
National Provider Identifier
| NPI | 1629158498 |
|---|---|
| Provider Name | Dr. Bruce Louis Radler |
| First Address | Brooklyn, NY 11204-2739 |
| Second Address | Brooklyn, NY 11204-2739 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 16/10/2006 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 00413314 | (05) | NY |
| 0058524 | GHI (01) | NY |
| 38810 | ELDERPLAN HMO (01) | NY |
| N0023551 | HIP (01) | NY |
| P26231 | EMPIRE BC/BS (01) | NY |
| T50735 | (02) | NY |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.