Wortman, Richard
Wortman, Richard is an individual health care provider with primary practice located at 7403 Commonwealth Blvd , Bellerose NY 11426-1839. He recently has only one registered license in Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry, which is considered as his primary health care specialty. Wortman, Richard can be contacted via phone (718) 464-2900.Contact Information
Primary practice address
7403 Commonwealth Blvd
Bellerose NY 11426-1839
Phone: (718) 464-2900
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry | 2084P0804X | 112977 | New York |
Profile Details
| NPI number | 1518093913 |
|---|---|
| LBN Legal business name | Wortman, Richard |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 27th, 2007 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1518093913 | NPPES |
| New York | MEDICAID | 112977 |
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