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Individual

HENRY RICHTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
601 ELMWOOD AVE, ROCHESTER, NY 14642-0001
(585) 275-4751
Mailing address
601 ELMWOOD AVE, BOX 679B, ROCHESTER, NY 14642-0001
(585) 275-2475
(585) 473-0477

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
104037
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00040951201
UNIVERA
NY
01
000523756002
BC/BS OF WESTERN NY
NY
05
00455972
NY
01
060055873
MEDICARE RAILROAD
NY
01
2190568
INDEPENDENT HEALTH
NY
01
5931326
AETNA
NY
01
P010104037
BLUE CHOICE
NY
Enumeration date
06/13/2006
Last updated
08/29/2011
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