Individual
RICHARD JIAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
30 COLUMBIA ST, POUGHKEEPSIE, NY 12601-3906
(845) 231-5600
(845) 231-5489
Mailing address
110 S BEDFORD RD, CAREMOUNT MEDICAL PC, MOUNT KISCO, NY 10549-3446
(914) 241-1050
(914) 242-1516
Taxonomy
Speciality
Code
Description
License number
State
2085D0003X
Diagnostic Neuroimaging (Radiology) Physician
Primary
256383
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03382670
—
NY
Enumeration date
04/28/2010
Last updated
11/17/2016
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