Radel, Matthew

Radel, Matthew is an individual health care provider with primary practice located at 500 Sterling Dr , Orchard Park NY 14127-1573. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Radel, Matthew can be contacted via phone (716) 677-2273.

Contact Information

Primary practice address
500 Sterling Dr Orchard Park NY 14127-1573
Phone: (716) 677-2273
Fax: (716) 677-2256
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 019756-1 New York

Profile Details

NPI number 1649621624
LBN Legal business name Radel, Matthew
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 30th, 2016
Last updated Mar 27th, 2017 - about 9 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 1649621624 NPPES
New York MEDICAID 04540429

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