Dr. Timothy Evan Radomisli
Pediatric Orthopaedic Surgeon
130 East 77th Street 12th Floor
New York
, New York 10021
Dr. Timothy Evan Radomisli
Pediatric Orthopaedic Surgeon
130 East 77th Street 12th Floor
New York
, New York 10021
(212) 434-4887
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About
Features
Specialties
- Pediatric Orthopaedic Surgeon
Languages spoken
- English
Location
First Address
- Dr. Timothy Evan Radomisli
- 130 East 77th Street 12th Floor
- New York, NY
- Zip : 10021
- Fax : (212) 434-4887
- Phone : (212) 249-8088
Second Address
- Dr. Timothy Evan Radomisli
- 130 East 77th Street 12th Floor
- New York, NY
- Zip : 10021
- Fax : (212) 434-4887
- Phone : (212) 249-8088
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207XP3100X | Pediatric Orthopaedic Surgeon | 189251 | NY |
National Provider Identifier
| NPI | 1619051265 |
|---|---|
| Provider Name | Dr. Timothy Evan Radomisli |
| First Address | New York, NY 10021 |
| Second Address | New York, NY 10021 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 24/10/2006 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| C23788 | (02) |
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.