Radler, Bruce Louis

Radler, Bruce Louis is an sole proprietor health care provider with primary practice located at 6416 17Th Ave , Brooklyn NY 11204-2739. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine, which is considered as his primary health care specialty. Radler, Bruce Louis can be contacted via phone (718) 236-2821.

Contact Information

Primary practice address
6416 17Th Ave Brooklyn NY 11204-2739
Phone: (718) 236-2821
Fax: (718) 236-1167
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine 213EP1101X N0023551 New York

Profile Details

NPI number 1629158498
LBN Legal business name Radler, Bruce Louis
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 16th, 2006
Last updated Jul 8th, 2007 - about 17 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1629158498 NPPES
New York Other 38810 ELDERPLAN HMO
New York MEDICAID 00413314 ELDERPLAN HMO
New York Other N0023551 ELDERPLAN HMO
New York Other P26231 ELDERPLAN HMO
New York Other 0058524 ELDERPLAN HMO

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