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Contact Information

MICHAEL J RADUAZZO SR, BSPH
196 COW NECK RD
PORT WASHINGTON, NY11050-1102
 Phone: 516-883-8869
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pharmacist

183500000X
Indicates primary specialty

NPI Profile & details for MICHAEL J RADUAZZO SR · (Male)

NPI Number 1225179963
Status Active
Credentials BSPH
Entity Individual
Enumeration date 02/08/2007
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 Yes
Identifiers
  • NY License # 0220221
  • NY Medicaid 00396745
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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