Individual
RICHARD DEVERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
276 TEMPLE HILL RD UNIT 820, NEW WINDSOR, NY 12553-6848
(516) 754-0882
Mailing address
276 TEMPLE HILL RD UNIT 820, NEW WINDSOR, NY 12553-6848
(516) 754-0882
Taxonomy
Speciality
Code
Description
License number
State
347C00000X
Private Vehicle
Primary
—
—
Other
Enumeration date
08/24/2023
Last updated
08/30/2023
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