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Organization
RICHARD FEDERBUSH MD PC
Active
Organization
RICHARD FEDERBUSH MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD BART FEDERBUSH MD (PRESIDENT)
(516) 364-9800
Entity
Organization
Contact information
Practice address
175 JERICHO TPKE, SUITE 216, SYOSSET, NY 11791-4532
(516) 364-9800
(516) 364-9802
Mailing address
175 JERICHO TURNPIKE, SUITE 216, SYOSSET, NY 11791-4538
(516) 364-9800
(516) 364-9802
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
178410
NY
Other
Enumeration date
12/14/2010
Last updated
12/14/2010
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