Provider Demographics
NPI:1669749982
Name:STEVEN RADOWITZ MD PRIMARY CARE
Entity type:Organization
Organization Name:STEVEN RADOWITZ MD PRIMARY CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:
Authorized Official - Last Name:RADOWITZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:917-270-5404
Mailing Address - Street 1:139 W 82ND ST
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10024-5544
Mailing Address - Country:US
Mailing Address - Phone:212-496-7200
Mailing Address - Fax:212-874-4690
Practice Address - Street 1:200 WEST ST
Practice Address - Street 2:HEALTH CARE CENTER, 10TH FLOOR
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10282-2102
Practice Address - Country:US
Practice Address - Phone:212-357-6339
Practice Address - Fax:646-446-0375
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-12-01
Last Update Date:2011-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY226877207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty