Radetzky, Nicholas A.
Radetzky, Nicholas A. is an individual health care provider with primary practice located at 3582 Broadway , New York NY 10031-3201. He recently has only one registered license in Eye and Vision Services Providers / Corneal and Contact Management, which is considered as his primary health care specialty. Radetzky, Nicholas A. can be contacted via phone (212) 234-2020.Contact Information
Primary practice address
3582 Broadway
New York NY 10031-3201
Phone: (212) 234-2020
Fax: (212) 234-4609
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Corneal and Contact Management | 152WC0802X | 4372 | New York |
Profile Details
| NPI number | 1710967682 |
|---|---|
| LBN Legal business name | Radetzky, Nicholas A. |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 18th, 2006 |
| Last updated | Jan 22nd, 2020 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1710967682 | NPPES |
| New York | MEDICAID | 01033870 |
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