Organization
RICHARD STORM MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD STORM MD PC (OWNER)
(516) 431-2020
Entity
Organization
Contact information
Practice address
303 E PARK AVE, LONG BEACH, NY 11561-3600
(516) 431-2020
Mailing address
303 E PARK AVE, LONG BEACH, NY 11561-3600
(516) 431-2020
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
128051
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00580341
—
NY
Enumeration date
09/14/2011
Last updated
09/14/2011
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