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Individual

RICHARD V MUSTO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
250 YAPHANK RD, STE 11B, EAST PATCHOGUE, NY 11772-4800
(631) 475-5051
Mailing address
250 YAPHANK RD, STE 11B, EAST PATCHOGUE, NY 11772-4800
(631) 475-5051

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
108812
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00628515-8
NY
01
0094278
GHI
NY
01
1604
VYTRA
NY
01
1900113
UNITED HEALTHCARE
NY
01
218607P
HIP
NY
01
325951
EMPIRE BCBS
NY
01
340004363
RAILROAD MEDICARE
NY
01
4283400
AETNA
NY
01
5610409006
HEALTHCARE PARTNERS
NY
01
6510409007
CIGNA
NY
01
940046752
PHCS
NY
01
952383
HEALTHNET
NY
01
CS1074
OXFORD
NY
Enumeration date
08/02/2005
Last updated
11/07/2012
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