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Individual
RICHARD ANTHONY DENTICO
Active
Individual
RICHARD ANTHONY DENTICO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
252207
NY
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
252207
NY
Other
Enumeration date
03/23/2009
Last updated
01/23/2014
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