Dyckman, Richard Harris

Dyckman, Richard Harris is an individual health care provider with primary practice located at 285 Sills Road Building # 14, East Patchogue NY 11772-4869. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Dyckman, Richard Harris can be contacted via phone (631) 447-8300.

Contact Information

Primary practice address
285 Sills Road Building # 14 East Patchogue NY 11772-4869
Phone: (631) 447-8300
Fax: (631) 447-8872
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 166642 New York

Profile Details

NPI number 1528019403
LBN Legal business name Dyckman, Richard Harris
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 15th, 2006
Last updated Mar 26th, 2021 - about 3 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1528019403 NPPES
New York MEDICAID 01147204

Popular Providers