Richter, Richard Jay

Richter, Richard Jay is an individual health care provider with primary practice located at 12 Rose St , Sag Harbor NY 11963-0024. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Richter, Richard Jay can be contacted via phone (631) 725-0555.

Contact Information

Primary practice address
12 Rose St Sag Harbor NY 11963-0024
Phone: (631) 725-0555
Fax: (631) 725-0555
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 02975 New York

Profile Details

NPI number 1932280369
LBN Legal business name Richter, Richard Jay
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 19th, 2006
Last updated Dec 13th, 2007 - about 18 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 1932280369 NPPES
New York MEDICAID 00423143

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