Individual
RICHARD ROUDER DPM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1500 VICTORY BLVD, STATEN ISLAND, NY 10301-3912
(178) 556-5550
(718) 273-3232
Mailing address
1855 RICHMOND AVE, 104, STATEN ISLAND, NY 10314-3940
(178) 556-5550
(718) 273-3232
Taxonomy
Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
N005371
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7426305
—
NJ
Enumeration date
06/06/2006
Last updated
08/08/2013
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