Organization
RICHTER MEDICAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL LLOYD RICHTER MD (OWNER)
(646) 552-6611
Entity
Organization
Contact information
Practice address
1 APPALOOSA LN, MILLBROOK, NY 12545-6051
(646) 552-6611
Mailing address
PO BOX 616, MILLBROOK, NY 12545-0616
(646) 552-6611
Taxonomy
Speciality
Code
Description
License number
State
207RA0401X
Addiction Medicine (Internal Medicine) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01849590
—
NY
Enumeration date
10/13/2020
Last updated
09/06/2023
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