Individual
DR. MARK JASON RICHMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD MPH
Contact information
Practice address
27005 76TH AVE, NEW HYDE PARK, NY 11040-1402
(718) 470-7501
(718) 470-9113
Mailing address
27005 76TH AVE, NEW HYDE PARK, NY 11040-1402
(718) 470-7501
(718) 470-9113
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
0101230304
VA
207P00000X
Emergency Medicine Physician
Primary
280057-1
NY
207P00000X
Emergency Medicine Physician
46226
GA
207P00000X
Emergency Medicine Physician
A83458
CA
207R00000X
Internal Medicine Physician
A83548
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A834580
—
CA
Enumeration date
08/16/2006
Last updated
07/20/2016
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