Individual
JOHN RICHARD RESTIVO
Active
Individual
JOHN RICHARD RESTIVO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
207464
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01647929
—
NY
05
—
01754118
—
NY
01
—
040426013913
FIDELIS
NY
01
—
10045243
CDPHP
NY
01
—
207464-9
WC
NY
01
—
300080976
RAIL ROAD MEDICARE
NY
01
—
4196774
GHI
NY
01
—
958476
MVP
NY
01
—
P010207464
BCBS
NY
Enumeration date
05/04/2006
Last updated
05/01/2023
Update your record
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