Individual
M. RICHARD ACOME
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
6254 LAWVILLE RD, WOLCOTT, NY 14590-9792
(315) 594-9444
(315) 594-1315
Mailing address
6254 LAWVILLE RD, WOLCOTT, NY 14590-9792
(315) 594-9444
(315) 594-1315
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
004683
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02650264
—
NY
Enumeration date
10/24/2006
Last updated
11/06/2018
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