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Individual

JEFFREY H RICHMOND

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
600 NORTHERN BLVD, STE 300, GREAT NECK, NY 11021
(516) 627-8717
(516) 365-1634
Mailing address
600 NORTHERN BLVD, STE 300, GREAT NECK, NY 11021
(516) 627-8717
(516) 365-1634

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
209719
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
P00159317
MEDICARE ID
NY
01
P2651050
OXFORD
Enumeration date
06/07/2006
Last updated
03/05/2008
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