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Individual

DR. RICHARD JOSEPH PRYOR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
250 DELAWARE AVE, DELMAR, NY 12054-1420
(518) 439-8077
(518) 439-8070
Mailing address
711 TROY SCHENECTADY RD, SUITE 203, LATHAM, NY 12110-2442
(518) 782-3700
(518) 782-3799

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
223016-1
NY
208M00000X
Hospitalist Physician
223016
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000400092003
BSNENY
NY
05
02287401
NY
01
071115000068
FIDELIS
NY
01
10064178
CDPHP
NY
01
121778
GHI-HMO
NY
01
209244
SENIOR WHOLE HEALTH
NY
01
3774Q1
EMPIRE BC
NY
01
6009640
MVP
NY
01
7017387
AETNA
NY
Enumeration date
09/15/2005
Last updated
09/28/2010
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