Organization
DEREK P RICHARDSON,MD,PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DEREK P RICHARDSON M.D. (PHYSICIAN)
(518) 798-1778
Entity
Organization
Contact information
Practice address
4 IRONGATE CTR, GLENS FALLS, NY 12801-3471
(518) 798-1778
(518) 798-1846
Mailing address
4 IRONGATE CTR, GLENS FALLS, NY 12801-3471
(518) 798-1778
(518) 798-1846
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
114475
NY
Other
Enumeration date
10/27/2010
Last updated
10/28/2010
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