Individual
RICHARD ROUSSEAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
10423 198TH ST, SAINT ALBANS, NY 11412-1215
(347) 966-3838
Mailing address
10423 198TH ST, SAINT ALBANS, NY 11412-1215
(347) 966-3838
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
46-4171271
NY
Other
Enumeration date
10/02/2017
Last updated
10/02/2017
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