Organization
54 MAIN STREET MEDICAL PRACTICE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD ADDES DO (OWNER)
(516) 593-8953
Entity
Organization
Contact information
Practice address
129 JACKSON ST, HEMPSTEAD, NY 11550-2412
(516) 538-4531
(516) 292-6287
Mailing address
2965 LONG BEACH RD, OCEANSIDE, NY 11572-3255
(516) 593-8953
(516) 292-6287
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02757440
—
NY
Enumeration date
11/30/2006
Last updated
10/21/2021
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