Individual
DR. RICHARD JAMES MADONNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
33 W 42ND ST, SUNY STATE COLLEGE OF OPTOMETRY, NEW YORK, NY 10036-8005
(212) 938-4060
Mailing address
4 LAGOON LN, HAVERSTRAW, NY 10927-2101
(845) 786-3340
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
VUT4590
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00244528
—
NY
Enumeration date
02/07/2006
Last updated
12/15/2010
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