Individual
DR. RICHARD C DENISE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
621A ARDEN AVE, STATEN ISLAND, NY 10312-3032
(917) 743-3866
(718) 365-1643
Mailing address
621A ARDEN AVE, STATEN ISLAND, NY 10312-3032
(917) 743-3866
(718) 365-1643
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
157428
NY
2085N0700X
Neuroradiology Physician
157428
NY
2085N0904X
Nuclear Radiology Physician
157428
NY
2085R0202X
Diagnostic Radiology Physician
Primary
157428
NY
2085R0203X
Therapeutic Radiology Physician
157428
NY
2085R0204X
Vascular & Interventional Radiology Physician
157428
NY
2085U0001X
Diagnostic Ultrasound Physician
157428
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
157428
LICENSE
NY
Enumeration date
07/07/2006
Last updated
04/30/2014
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