Daniel Radecker

NPI 1134442064 - Pharmacist - 183500000X

NPI Details
NPI 1134442064
Gender Male
Enumeration Date 03/06/2010
Last Updated 03/06/2010
Entity Type Individual
Active Over 6 years ago
Practice Location
30 HEMPSTEAD AVE
ROCKVILLE CENTRE NY, 11570-4033, US
Phone (516) 764-6161
Fax
Business Location
30 HEMPSTEAD AVE
ROCKVILLE CENTRE NY, 11570-4033, US
Phone
Fax
Toxanomy
Taxonomy Code 183500000X
License State New York
License Number 053949
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According to our database, Daniel Radecker NPI is 1134442064, taxonomy code is 183500000X and license number is 053949, license state is located at New York. Daniel Radecker physically located at 30 Hempstead Ave, Rockville Centre NY, 11570-4033. NPI Number Daniel Radecker has the Individual type.

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1134442064 NPI number is provided on an as is basis without warranty of any kind. 1134442064 is maintained by the National Plan & Provider Enumeration System. The contents of Daniel Radecker are for informational purposes only.