Individual
DR. RICHARD SHADICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
242 E 19TH ST, DOCTOR'S OFFICE #2, NEW YORK, NY 10003-2634
(212) 477-3360
Mailing address
242 E 19TH ST, DOCTOR'S OFFICE #2, NEW YORK, NY 10003-2634
(212) 477-3360
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
011999
NY
Other
Enumeration date
04/11/2007
Last updated
07/08/2007
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