Dr. Edward James Radin
Sports Medicine Doctor
101 Dates Dr
Ithaca
, New York 14850-1342
Dr. Edward James Radin
Sports Medicine Doctor
101 Dates Dr
Ithaca
, New York 14850-1342
(607) 589-4718
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About
Features
Specialties
- Sports Medicine Doctor
Languages spoken
- English
Location
First Address
- Dr. Edward James Radin
- 535 Dean Creek Rd
- Lockwood, NY
- Zip : 14859-9742
- Phone : (607) 589-4718
Second Address
- Dr. Edward James Radin
- 101 Dates Dr
- Ithaca, NY
- Zip : 14850-1342
- Fax : (607) 274-4132
- Phone : (607) 274-4011
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 204C00000X | Sports Medicine Doctor | 157674-1 | NY |
National Provider Identifier
| NPI | 1154355410 |
|---|---|
| Provider Name | Dr. Edward James Radin |
| First Address | Lockwood, NY 14859-9742 |
| Second Address | Ithaca, NY 14850-1342 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 10/07/2006 |
| Last Update Date | 08/07/2007 |
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.