Individual
IRINA RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPA-C
Contact information
Practice address
1099 TARGEE ST, STATEN ISLAND, NY 10304-4310
(718) 448-3210
(718) 984-2642
Mailing address
2535 ARTHUR KILL RD, STATEN ISLAND, NY 10309-1207
(718) 448-3210
(718) 984-2642
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
014604
NY
Other
Enumeration date
12/04/2011
Last updated
03/20/2019
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