Dentico, Richard Anthony

Dentico, Richard Anthony is an individual health care provider with primary practice located at 1910 South Rd , Poughkeepsie NY 12601-6027. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation is his primary health care specialty. Dentico, Richard Anthony can be contacted via phone (845) 454-0120.

Contact Information

Primary practice address
1910 South Rd Poughkeepsie NY 12601-6027
Phone: (845) 454-0120
Fax: (845) 454-6080
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 252207 New York
Allopathic & Osteopathic Physicians / Sports Medicine 2081S0010X 252207 New York

Profile Details

NPI number 1962643866
LBN Legal business name Dentico, Richard Anthony
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 23rd, 2009
Last updated Jan 23rd, 2014 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1962643866 NPPES
New York MEDICAID 03110969

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