Individual
ELISE C. RICHTOL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
3 PARTRIDGE LN, WATERFORD, NY 12188-1091
(518) 233-1188
(518) 233-1188
Mailing address
3 PARTRIDGE LN, WATERFORD, NY 12188-1091
(518) 233-1188
(518) 233-1188
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
N004804
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01722590
—
NY
Enumeration date
01/20/2006
Last updated
10/02/2008
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