Raduazzo, Michael J

Raduazzo, Michael J is an sole proprietor health care provider with primary practice located at 196 Cow Neck Rd , Port Washington NY 11050-1102. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Raduazzo, Michael J can be contacted via phone (516) 883-8869.

Contact Information

Primary practice address
196 Cow Neck Rd Port Washington NY 11050-1102
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 0220221 New York

Profile Details

NPI number 1225179963
LBN Legal business name Raduazzo, Michael J
Credentials Bachelor of Science in Public Health (BSPH)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 8th, 2007
Last updated Jul 8th, 2007 - about 19 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 1225179963 NPPES
New York MEDICAID 00396745

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