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Individual

ROGER N RIECHERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
19 BRADHURST AVE, SUITE 700, HAWTHORNE, NY 10532-2140
(914) 593-7880
(914) 593-7857
Mailing address
PO BOX 28064, NEW YORK, NY 10087-8064
(914) 593-7880
(914) 593-7881

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
103955
NY
2088P0231X
Pediatric Urology Physician
103955
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00496286
NY
Enumeration date
06/08/2006
Last updated
11/05/2015
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