Storm, Richard L

Storm, Richard L is an sole proprietor health care provider with primary practice located at 303 E Park Ave , Long Beach NY 11561. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Storm, Richard L can be contacted via phone (516) 431-2020.

Contact Information

Primary practice address
303 E Park Ave Long Beach NY 11561
Fax: (516) 431-2791
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 128051 New York

Profile Details

NPI number 1083714547
LBN Legal business name Storm, Richard L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 25th, 2006
Last updated Sep 14th, 2011 - about 13 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 1083714547 NPPES
New York MEDICAID 00580341

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