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DARA P RICHARDSON

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
122 E 23RD ST, NEW YORK, NY 10010-4516
(212) 677-7400
Mailing address
8555 214TH ST, QUEENS VILLAGE, NY 11427-1344
(718) 464-4882

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
186731
NY

Other

Enumeration date
04/07/2006
Last updated
07/08/2007
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