Individual
DR. RICHARD M BILLOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
49 CEDAR DR, GREAT NECK, NY 11021-1935
(516) 829-9691
Mailing address
49 CEDAR DR, GREAT NECK, NY 11021-1935
(516) 829-9691
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
4705
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0751
LICENSE
NY
Enumeration date
11/14/2019
Last updated
11/14/2019
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