Individual
RICHARD WORTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7403 COMMONWEALTH BLVD, BELLEROSE, NY 11426-1839
(718) 464-2900
Mailing address
110 E 88TH ST, NEW YORK, NY 10128-1103
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
112977
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
112977
—
NY
Enumeration date
02/27/2007
Last updated
07/08/2007
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