Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103G00000X | Clinical Psychologist | 016999 | NY |
Y | 103TC0700X | Clinical Psychologist | 016999 | NY |
NPI | 1013040203 |
---|---|
Provider Name | Dr. Richard James Dioguardi |
First Address | Nesconset, NY 11767-3133 |
Second Address | White Plains, NY 10601-4965 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 14/03/2007 |
Last Update Date | 08/07/2007 |