Organization
RICHMOND PRIMARY CARE SPECIALISTS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MIGUEL A TIRADO MD (PRESIDENT)
(718) 967-8300
Entity
Organization
Contact information
Practice address
305 SEGUINE AVE, SUITE 1, STATEN ISLAND, NY 10309-3730
(718) 967-8300
(718) 967-8335
Mailing address
305 SEGUINE AVE, SUITE 1, STATEN ISLAND, NY 10309-3730
(718) 967-8300
(718) 967-8335
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
211722
NY
Other
Enumeration date
03/08/2007
Last updated
04/02/2014
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