Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111N00000X | Chiropractor | X0090561 | NY |
N | 111NN1001X | Nutrition | X009056-1 | NY |
N | 111NS0005X | Chiropractic Sports Physician | X009056-1 | NY |
NPI | 1508949702 |
---|---|
Provider Name | Dr. Richard P Biondi |
First Address | Harrison, NY 10528-1634 |
Second Address | Harrison, NY 10528 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 23/10/2006 |
Last Update Date | 16/03/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
U73540 | (02) | NY |