Individual
CARL RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
14556 229TH ST, SPRINGFIELD GARDENS, NY 11413-3923
(800) 313-7591
(718) 949-6315
Mailing address
14556 229TH ST, SPRINGFIELD GARDENS, NY 11413-3923
(800) 313-7591
(718) 949-6315
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
NY
Other
Enumeration date
07/22/2019
Last updated
07/22/2019
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