Individual
DR. RICHARD ALFRED VARRICCHIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
296 ROUTE 59, 12, TALLMAN, NY 10982-0041
(845) 368-2202
(845) 368-2659
Mailing address
PO BOX 41, TALLMAN, NY 10982-0041
(845) 368-2202
(845) 368-2659
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TUV004617-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1069410001
MEDICARE DMERC
—
01
—
453
DAVIS
NY
01
—
90975
AETNA
NY
01
—
NY4617
EYEMED
NY
Enumeration date
03/15/2007
Last updated
07/18/2015
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