Madonna, Richard James
Madonna, Richard James is an individual health care provider with primary practice located at 33 W 42Nd St Suny State College Of Optometry, New York NY 10036-8005. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Madonna, Richard James can be contacted via phone (212) 938-4060.Contact Information
Primary practice address
33 W 42Nd St Suny State College Of Optometry
New York NY 10036-8005
Phone: (212) 938-4060
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | VUT4590 | New York |
Profile Details
| NPI number | 1194798637 |
|---|---|
| LBN Legal business name | Madonna, Richard James |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 7th, 2006 |
| Last updated | Dec 15th, 2010 - about 14 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1194798637 | NPPES |
| New York | MEDICAID | 00244528 |
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