National Provider Identifier
Edward James Radin, MD
Edward James Radin, MD is listed in the NPPES registry with a primary specialty of Sports Medicine (Neuromusculoskeletal Medicine) Physician in Ithaca, NY and a listed phone number of (607) 274-4011.
Profile Overview
- NPI
- 1154355410
- Provider Type
- Individual
- Primary Specialty
- Sports Medicine (Neuromusculoskeletal Medicine) Physician
- Enumeration Date
- July 10, 2006
- Last Updated
- July 08, 2007
Practice Location
- 101 Dates Dr
- Ithaca, NY 14850-1342
Phone: (607) 274-4011
Mailing Address
- 535 Dean Creek RD
- Lockwood, NY 14859-9742
Specialties
- Sports Medicine (Neuromusculoskeletal Medicine) Physician (204C00000X)
Full Record
- NPI
- 1154355410
- Entity Type
- Individual
- Last Name
- Radin
- First Name
- Edward
- Middle Name
- James
- Name Prefix
- Dr.
- Credential
- MD
- Mailing Street Address
- 535 Dean Creek RD
- Mailing City
- Lockwood
- Mailing State
- NY
- Mailing ZIP Code
- 14859-9742
- Mailing Country
- US
- Mailing Phone
- (607) 589-4718
- Practice Street Address
- 101 Dates Dr
- Practice City
- Ithaca
- Practice State
- NY
- Practice ZIP Code
- 14850-1342
- Practice Country
- US
- Practice Phone
- (607) 274-4011
- Practice Fax
- (607) 274-4132
- Enumeration Date
- July 10, 2006
- Last Updated
- July 08, 2007
- Sex
- Male
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Sports Medicine (Neuromusculoskeletal Medicine) Physician (204C00000X)