Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223G0001X | General Practice | 041854 | NY |
Y | 213EG0000X | General Practice | 041854 | NY |
NPI | 1003912965 |
---|---|
Provider Name | Dr. Richard Cary Richter |
First Address | East Quogue, NY 11942-3631 |
Second Address | East Patchogue, NY 11772-5551 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/09/2006 |
Last Update Date | 08/07/2007 |