Whalio Doctors

NPI 1154355410

Edward James Radin, MD

Practitioner Sports Medicine (Neuromusculoskeletal Medicine) Physician Ithaca, NY

Practice location

Address
101 Dates Dr, Ithaca, NY 14850-1342
Phone
(607) 274-4011
Fax
(607) 274-4132
Mailing address
535 Dean Creek Rd, Lockwood, NY 14859-9742

Registered specialties

Sports Medicine (Neuromusculoskeletal Medicine) Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 204C00000X Licence 157674-1 (NY)

Registry record

NPI
1154355410
Entity type
Individual
Sex (as registered)
Male
NPI issued
10 Jul 2006
Record last updated
8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.