Individual
DR. DAWN C RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4101 MEDICAL CENTER DR, FAYETTEVILLE, NY 13066-6600
(315) 637-7878
Mailing address
4101 MEDICAL CENTER DR, FAYETTEVILLE, NY 13066-6600
(315) 637-7878
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
220282-1
NY
Other
Enumeration date
06/12/2013
Last updated
06/18/2013
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