Individual
GERARD CONRAD RICHTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
301 PROSPECT AVE, SURGICAL PA OFFICE ROOM 4202, SYRACUSE, NY 13203-1807
(315) 448-2876
Mailing address
301 PROSPECT AVE, SURGICAL PA OFFICE ROOM 4202, SYRACUSE, NY 13203-1807
(315) 448-2876
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
003572-1
NY
Other
Enumeration date
11/15/2006
Last updated
03/03/2008
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