Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | 116300 | NY |
Y | 111NI0900X | Internist | 116300 | NY |
NPI | 1003803735 |
---|---|
Provider Name | Richard P Handler |
First Address | Saranac Lake, NY 12983-5644 |
Second Address | Saranac Lake, NY 12983-5644 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/09/2005 |
Last Update Date | 28/01/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00385171 | (05) | NY |
110120553 | RAILROAD MEDICARE (01) | NY |
AH5716759 | DEA (01) | |
B80805 | (02) |