Provider Demographics
NPI:1689769366
Name:RADI, STEVEN ANDRE (MD)
Entity Type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:ANDRE
Last Name:RADI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:16 BRIGHAM CIR
Mailing Address - Street 2:
Mailing Address - City:HONEOYE FALLS
Mailing Address - State:NY
Mailing Address - Zip Code:14472-9248
Mailing Address - Country:US
Mailing Address - Phone:585-582-1975
Mailing Address - Fax:585-245-5744
Practice Address - Street 1:1 COLLEGE CIR
Practice Address - Street 2:
Practice Address - City:GENESEO
Practice Address - State:NY
Practice Address - Zip Code:14454-1401
Practice Address - Country:US
Practice Address - Phone:585-245-5736
Practice Address - Fax:585-245-5744
Is Sole Proprietor?:No
Enumeration Date:2006-10-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY155159-1207QS0010X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QS0010XAllopathic & Osteopathic PhysiciansFamily MedicineSports Medicine