# RICHMOND MEDICAL PRACTICE PLLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** RICHMOND INTERVENTIONAL PAIN MANAGEMENT
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1700337888
- **Legal business name:** RICHMOND INTERVENTIONAL PAIN MANAGEMENT
- **Authorized official:** DR. ANURAG BHATIA M.D. (MEDICAL DIRECTOR)
- **Authorized official phone:** (718) 698-3900

## Contact information

- **Practice address:** 2066 RICHMOND AVE, SUITE 202, STATEN ISLAND, NY 10314
- **Practice address phone:** (718) 698-3900
- **Practice address fax:** (855) 564-5600
- **Mailing address:** 2066 RICHMOND AVE, SUITE 202, STATEN ISLAND, NY 10314-3960
- **Mailing address phone:** (718) 698-3900
- **Mailing address fax:** (855) 564-5600

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208VP0000X | Pain Medicine Physician | 198371 | NY | Yes |

## Other

- **Enumeration date:** 10/24/2016
- **Last updated:** 11/02/2016