Individual
LINDA RICHARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
256 WASHINGTON ST, MOUNT VERNON, NY 10553-1052
(914) 484-1038
Mailing address
256 WASHINGTON ST, MOUNT VERNON, NY 10553-1052
(914) 484-1038
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
NYCPS-2707
NY
175T00000X
Peer Specialist
—
NY
Other
Enumeration date
09/05/2018
Last updated
10/29/2021
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