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Organization
RICHARD RISE PHYSICIAN PC
Active
Organization
RICHARD RISE PHYSICIAN PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD RISE MD (OWNER)
(516) 589-0043
Entity
Organization
Contact information
Practice address
70 GLEN ST, SUITE 101, GLEN COVE, NY 11542-2855
(516) 589-0043
(516) 396-0551
Mailing address
70 GLEN ST, GLEN COVE, NY 11542-2855
(516) 589-0043
(516) 396-0551
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
185249
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
185249
LICENSE
NY
Enumeration date
03/14/2007
Last updated
08/22/2020
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