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Individual

DR. RICHARD SCRIVEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
37 RESEARCH WAY, EAST SETAUKET, NY 11733
(631) 444-4545
Mailing address
P.O. BOX 1559, STONY BROOK, NY 11790

Taxonomy

Speciality
Code
Description
License number
State
2086S0120X
Pediatric Surgery Physician
Primary
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01961893
NY
01
206H61
EMPIRE BC.BS
NY
01
7203094
AETNA
NY
Enumeration date
07/18/2006
Last updated
07/21/2022
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