| Doctor Name: | MR. ROBERT STEPHEN RADOMSKI |
| NPI Number: | 1063665628 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MSPT |
| License Number: | 0155761 |
| Business Practice Address: | 44 Ogden Ave Dobbs Ferry, NY - 105222620 |
| Business Phone Number: | 9142316746 |
| Business Fax Number: | |
| Mailing Address: | 44 Ogden Ave, DOBBS FERRY |
| State: | NY |
| Postal Code: | 105222620 |
| Phone Number: | 9142316746 |
| Fax Number: | |
| NPI Enumeration Date: | 10/28/2008 |
| NPI Last Update Date: | 10/28/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2251P0200X |
| License Number: | 0155761 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | Pediatrics |
| Taxonomy Definition: | |