Richardson, William B

Richardson, William B is an individual health care provider with primary practice located at 3 Curtis Road Trivalley Family Practice Llc, Vernon NY 13476-0275. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Richardson, William B can be contacted via phone (315) 829-2220.

Contact Information

Primary practice address
3 Curtis Road Trivalley Family Practice Llc Vernon NY 13476-0275
Phone: (315) 829-2220
Fax: (315) 829-2014
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 041817 Connecticut
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 243766 New York

Profile Details

NPI number 1457409617
LBN Legal business name Richardson, William B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 6th, 2007
Last updated Jun 19th, 2008 - about 16 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 1457409617 NPPES
New York MEDICAID 02879436

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